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A nurse is providing discharge teaching for a client who has cancer.

Exhibits

For each type of food, click to specify if the food is safe or contraindicated for the client.

A.

Unpasteurized cheese

B.

Grilled hot dog

C.

High-calorie supplement drink

D.

Sushi

E.

Cold deli meat sandwich

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"}}

Unpasteurized cheese: Contraindicated. Unpasteurized cheese carries a risk of containing harmful bacteria, which can pose a risk of infection, especially for immunocompromised individuals like those undergoing chemotherapy.

Grilled hot dog: Contraindicated. Grilled hot dogs may pose a risk of bacterial contamination, which can be harmful, especially for individuals with mouth sores and immunosuppression. High-calorie supplement drink: Safe. High-calorie supplement drinks can provide essential nutrients and calories, which can be beneficial for clients undergoing chemotherapy, especially if they have increased appetite.

Sushi: Contraindicated. Sushi may contain raw fish or other raw ingredients that can increase the risk of foodborne illness, which can be harmful for immunocompromised individuals.

Cold deli meat sandwich: Contraindicated. Cold deli meats may carry a risk of listeria contamination, which can be harmful, especially for individuals with weakened immune systems due to chemotherapy.


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Related Questions

Correct Answer is B

Explanation

A. Using a syringe to give the client fluids is not directly related to preventing aspiration during mealtime.
B. Tilt the client's head forward when swallowing helps to facilitate the movement of food down the esophagus and reduces the risk of aspiration by preventing food from entering the trachea.
C. Scheduling physical therapy directly before mealtime may increase the risk of aspiration due to potential fatigue or increased weakness during meal consumption.
D. Encouraging the client to complete the meal within 15 minutes may lead to rushed eating, increasing the risk of aspiration. It's more important to focus on safe swallowing techniques and taking adequate time to eat slowly.

Correct Answer is C

Explanation

A. Urine output of 25 mL/hr may indicate inadequate renal perfusion or ongoing dehydration, which is not indicative of effective treatment for hypernatremia.
B. Fatigue is a nonspecific finding and does not specifically indicate the effectiveness of treatment for hypernatremia.
C. A firm grip bilaterally suggests adequate hydration and electrolyte balance, which would indicate effective treatment for hypernatremia.
D. Weight gain may occur with fluid retention, which could indicate overhydration rather than effective treatment for hypernatremia.

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