The home care nurse visits a client who has cancer. The client reports having a good appetite but experiencing nausea when smelling food cooking. Which action should the nurse implement?

Instruct the client to take an antiemetic before every meal to prevent excessive vomiting.

Encourage family members to cook meals outdoors and bring the cooked food inside.

Assess the client's mucous membranes and report the findings to the healthcare provider.

Advise the client to replace cooked foods with a variety of different nutritional supplements.

Answer and Explanation

The Correct Answer is B

A. Instruct the client to take an antiemetic before every meal to prevent excessive vomiting:While antiemetics can be helpful, this action may not address the underlying issue of food smells causing nausea. It is important to address the client’s sensory triggers.

B. Encourage family members to cook meals outdoors and bring the cooked food inside:
This can help reduce the trigger for nausea caused by the smell of cooking food. Cooking outdoors minimizes exposure to food smells, which could alleviate the client’s discomfort.

C. Assess the client's mucous membranes and report the findings to the healthcare provider: Assessing the mucous membranes is important in general care, especially for clients with cancer, but it is not directly related to the reported issue of nausea triggered by food smells.

D. Advise the client to replace cooked foods with a variety of different nutritional supplements: While nutritional supplements can be useful if the client is unable to tolerate solid foods, this advice doesn't address the root cause of the nausea related to food smells.

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Correct Answer is C

Explanation

A. Provide handouts written at a 12th grade reading level: Educational materials should be written at an appropriate reading level for the client, typically 6th to 8th grade for older adults, to promote understanding. Handouts at a 12th-grade level might be too complex.

B. Use background music to promote relaxation: While this could potentially help reduce anxiety for some people, it may also be distracting for others during important health teaching. The priority is clear and focused communication.

C. Turn on overhead lights while giving instructions: Proper lighting is essential, especially for older adults who may have visual impairments. Bright, direct lighting can help ensure the client clearly sees instructional materials and feels more comfortable during teaching.

D. Stand behind the client to avoid intimidation: Standing behind the client can be intimidating and might make the interaction feel less personal. It's important to engage the client in a way that encourages open communication, typically by sitting or standing at eye level.

A. Names 3 home safety hazards to be resolved immediately. B. States 4 risk factors for the development of osteoporosis. C. Identifies 2 treatments for constipation due to immobility. D. Lists 5 calcium-rich foods to be added to the daily diet.

Correct Answer is A

Explanation

A. Names 3 home safety hazards to be resolved immediately: This addresses fall prevention, which is the most immediate and critical concern in osteoporosis due to the high risk of fractures from minimal trauma.

B. States 4 risk factors for the development of osteoporosis: While understanding risk factors is important for prevention, it is less urgent than addressing environmental hazards that could lead to injury.

C. Identifies 2 treatments for constipation due to immobility: Managing constipation is relevant for immobility but not a top priority compared to fall and fracture risk.

D. Lists 5 calcium-rich foods to be added to the daily diet: Dietary calcium supports long-term bone health but does not immediately reduce the risk of injury like eliminating hazards does.

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The home care nurse visits a client who has cancer. The client reports having a good appetite but experiencing nausea when smelling food cooking. Which action should the nurse implement?

Nursing Test Bank

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