A nurse is planning eating strategies with a client who has nausea from equilibrium imbalance. Which of the following strategies should the nurse recommend?
Serve hot foods at mealtime.
Limit fluid intake between meals.
Encourage the client to eat even if nauseated.
Provide low-fat carbohydrates with meals.
The Correct Answer is B
Choice A rationale:
Serving hot foods at mealtime might worsen the client's nausea, as strong odors and high temperatures can exacerbate feelings of nausea.
Choice B rationale:
Limiting fluid intake between meals can help prevent overfilling the stomach, which can contribute to nausea in clients with equilibrium imbalances. Consuming fluids between meals, rather than with meals, can also aid in better digestion and reduce the likelihood of nausea.
Choice C rationale:
Encouraging the client to eat even if nauseated could potentially worsen their symptoms and lead to an aversion to eating due to the association of food with nausea.
Choice D rationale:
Providing low-fat carbohydrates with meals may be beneficial for some clients, but it doesn't directly address the issue of nausea related to equilibrium imbalance. The focus should be on strategies that prevent nausea rather than specific meal components.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Avoiding glutamine is not a typical recommendation for managing Crohn's disease. Glutamine is an amino acid that plays a role in gut health, and its avoidance wouldn't necessarily aid in disease recovery.
Choice B rationale:
Limiting the amount of fiber in the diet is important for clients with Crohn's disease. High-fiber foods can exacerbate symptoms by causing bowel irritation and increasing motility. A low-fiber diet can help reduce inflammation and discomfort in the digestive tract.
Choice Crationale:
Taking mild laxatives is generally not recommended for individuals with Crohn's disease. Laxatives can irritate the digestive tract and potentially worsen symptoms. Bowel movements should be managed with dietary and lifestyle modifications under the guidance of a healthcare provider.
Choice Drationale:
It's not common for individuals with Crohn's disease to gain weight due to the disease itself. In fact, weight loss is a more typical symptom due to reduced nutrient absorption and increased metabolism.
Correct Answer is B
Explanation
The correct answer is choice B: Muscle weakness.
Choice A rationale:
Exaggerated reflexes are not typically associated with water intoxication. They can be a sign of other neurological conditions but not specifically related to the administration of hypotonic IV fluids.
Choice B rationale:
Muscle weakness is a symptom of water intoxication, which can occur due to the dilution of electrolytes, including sodium, in the body when a hypotonic solution is administered.
Choice C rationale:
Hypernatremia, or high levels of sodium in the blood, is the opposite of what occurs in water intoxication. Water intoxication leads to hyponatremia, which is a low sodium concentration in the blood.
Choice D rationale:
Weak pulses are not a direct indicator of water intoxication. While they can be associated with various conditions, they do not specifically point to water intoxication following the administration of a hypotonic IV fluid bolus.
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