A nurse working on a medical unit is completing the admission of a client who reports a severe allergy to penicillin. Which of the following actions should the nurse take?

Choice A reason: Add Cream to Soups

Adding cream to soups is an excellent way to increase both calorie and protein intake. Cream is rich in fat and calories, which can help in weight gain and provide the necessary energy for clients undergoing chemotherapy. Additionally, it enhances the flavor and texture of soups, making them more palatable for clients who may have a reduced appetite due to treatment.

Choice B reason: Dip Meats in Eggs and Bread Crumbs Before Cooking

Dipping meats in eggs and bread crumbs before cooking adds extra calories and protein. Eggs are a good source of high-quality protein, and bread crumbs add additional calories. This method also helps to create a more appealing texture and flavor, which can be beneficial for clients experiencing taste changes due to chemotherapy.

Choice C reason: Use Milk Instead of Water in Recipes

Using milk instead of water in recipes is another effective strategy to boost calorie and protein intake. Milk contains essential nutrients, including protein, calcium, and vitamins, which are important for maintaining strength and health during chemotherapy. This substitution can be applied to various recipes, such as oatmeal, mashed potatoes, and smoothies.

Choice D reason: Top Fruits with Yogurt

Topping fruits with yogurt not only increases calorie and protein intake but also adds beneficial probiotics. Yogurt is a good source of protein and calcium, and when combined with fruits, it provides a nutritious and appealing snack or dessert. This combination can help improve appetite and provide essential nutrients needed during chemotherapy.

Choice E reason: Increase Fluids During Meals

Increasing fluids during meals is not specifically aimed at increasing calorie and protein intake. While staying hydrated is important, excessive fluid intake during meals can sometimes lead to a feeling of fullness, which may reduce overall food intake. It is better to focus on nutrient-dense foods and beverages that provide both hydration and essential nutrients.

Choice A reason:

While articulating expectations is important, the nurse’s response is more focused on addressing the client’s feelings and encouraging participation in therapy. Simply stating expectations without addressing the client’s emotions may not be as effective.

Choice B reason:

The nurse’s response demonstrates empathy by acknowledging the client’s feelings and gently guiding them towards participating in group therapy. This approach helps build trust and rapport, which are essential in therapeutic relationships, especially with clients exhibiting delusional behavior.

Choice C reason:

Setting limits on manipulative behavior is important, but in this context, the nurse’s response is more about encouraging participation and showing understanding rather than strictly setting limits.

Choice D reason:

Reflection involves mirroring the client’s feelings or statements to show understanding. While the nurse’s response does show understanding, it is not a direct example of reflection. The primary focus is on empathy and encouragement.