A nurse is planning eating strategies with a client who has nausea from equilibrium imbalance. Which of the following strategies should they recommend?

Encourage the client to eat even if nauseated.

Serve hot foods at mealtime.

Provide low-fat carbohydrates with meals.

Limit fluid intake between meals.

Answer and Explanation

The Correct Answer is C

A.   Encouraging the client to eat even if nauseated may worsen nausea and discomfort. It's essential to respect the client's feelings of nausea and provide strategies to alleviate symptoms before eating.
B.   Serving hot foods at mealtime may exacerbate nausea in some individuals. It's generally recommended to serve foods at room temperature or slightly chilled to minimize nausea.
C.   Providing low-fat carbohydrates with meals, such as crackers or bread, can help settle the stomach and provide easily digestible energy. Complex carbohydrates are less likely to exacerbate nausea compared to fatty or spicy foods.
D.   Limiting fluid intake between meals may help reduce nausea in some individuals, but it's important to ensure adequate hydration throughout the day. Encouraging small, frequent sips of clear fluids may be beneficial for managing nausea and preventing dehydration.

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Correct Answer is D

Explanation

Choice A Rationale: TPN should be removed from the refrigerator 30 minutes to an hour before use to allow it to reach room temperature, reducing the risk of crystallization and patient discomfort.

Choice B Rationale: The dressing around the IV site for TPN should be changed every 48 to 72 hours, not weekly, to prevent infection and ensure the integrity of the IV site.

Choice C Rationale: IV tubing for TPN solutions should be changed more frequently than every 72 hours, typically every 24 hours, to minimize the risk of bacterial contamination and infection.

Choice D Rationale: TPN solutions are at risk for bacterial growth, so any remaining solution after 24 hours should be discarded to prevent infection.

A. Hemoglobin B. Transferrin C. Prealbumin D. Total albumin

Correct Answer is C

Explanation

A. Hemoglobin levels primarily reflect the oxygen-carrying capacity of red blood cells and are not specific to nutritional status.
B. Transferrin levels reflect iron-binding capacity and may be influenced by factors other than nutrition.
C. Prealbumin levels have a shorter half-life compared to total albumin and can provide a more immediate assessment of nutritional status and the effectiveness of TPN in the short term.
D. Total albumin levels reflect longer-term protein status and may not change significantly in the short term with TPN administration.

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A nurse is planning eating strategies with a client who has nausea from equilibrium imbalance. Which of the following strategies should they recommend?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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