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."

Answer and Explanation

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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Correct Answer is A

Explanation

A. Eating a larger meal at breakfast and smaller meals throughout the day can help regulate appetite, reduce overall caloric intake, and promote weight loss.
B. Setting a weight loss goal of 2.5 pounds per week may be unrealistic or unsafe for some individuals. A more moderate and sustainable goal, such as 1-2 pounds per week, is typically recommended.
C. Meal replacement shakes can be a convenient option for some individuals as part of a weight loss plan, but they do not inherently cause weight gain. However, it's important to choose meal replacements with appropriate nutritional content and to use them as part of a balanced diet.
D. Drinking water with meals can help promote satiety and may prevent overeating, but it is not the only behavioral modification necessary for successful weight loss.

A. "The TPN will ensure that your glucose level stays within the expected range." B. "The TPN is needed because you are burning excessive calories." C. "The TPN will be higher in fats and protein, but lower in carbohydrates." D. "The TPN is needed to bypass your gastrointestinal tract."

Correct Answer is D

Explanation

A. TPN typically contains glucose as a source of energy. While it can help maintain glucose levels, this is not the primary reason for its use in clients with acute kidney injury.
B. TPN is not primarily used to address excessive calorie burning. It is used when a client is unable to meet their nutritional needs orally or enterally.
C. While TPN may have varying proportions of macronutrients depending on the individual's nutritional needs, the primary reason for its use in acute kidney injury is to provide nutrition when the gastrointestinal tract cannot be used.

D. TPN bypasses the gastrointestinal tract, delivering nutrients directly into the bloodstream.
This is necessary in acute kidney injury when the client may not be able to tolerate enteral feeding or when there are specific dietary restrictions.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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