A nurse is teaching a client who is receiving chemotherapy about managing nausea. Which of the following statements should the nurse include in the teaching?
"Eat foods served cold."
"Lie down for 30 minutes after eating."
"Reduce carbohydrates in your diet."
"Plan to eat 1 hour before receiving chemotherapy."
The Correct Answer is A
A. Eating cold or room temperature foods can help reduce nausea and may be better tolerated by individuals undergoing chemotherapy.
B. Lying down after eating may worsen nausea, particularly in individuals undergoing chemotherapy. It is generally recommended to remain upright for at least 30 minutes after eating to aid digestion.
C. Carbohydrates are often easier to tolerate than fatty or greasy foods when experiencing nausea. Therefore, reducing carbohydrates in the diet may not be advisable for managing chemotherapy-induced nausea.
D. Eating before chemotherapy may exacerbate nausea, as chemotherapy can cause nausea and vomiting shortly after administration. It is generally recommended to eat light, bland foods and avoid heavy meals before chemotherapy.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Lactulose is a laxative that works by reducing the absorption of ammonia in the colon, leading to increased bowel movements. Therefore, there should be an increase rather than a decrease in the number of bowel movements with this medication.
B. Lactulose is typically administered orally or rectally, not intravenously.
C. Lactulose does not treat infection; it helps reduce ammonia levels in hepatic encephalopathy by promoting bowel movements to expel ammonia.
D. Monitoring the serum ammonia level is essential in assessing the effectiveness of lactulose therapy. Reduction in serum ammonia levels indicates that the medication is working to reduce ammonia absorption in the colon.

Correct Answer is B
Explanation
A. Anticholinesterase medications, such as pyridostigmine, are commonly prescribed for myasthenia gravis. They should be taken as prescribed by the healthcare provider, usually on an empty stomach, to optimize absorption.
B. Positioning the head of the client's bed to 40° while eating helps prevent aspiration and choking by facilitating swallowing in clients with myasthenia gravis.
C. Providing the client with food cut into small bites can make swallowing easier but does not address the risk of aspiration associated with myasthenia gravis.
D. Encouraging the client to lie down after eating increases the risk of aspiration and should be avoided in clients with myasthenia gravis.
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