ATI PN Comprehensive Predictor 2023 - Exam 1

ATI PN Comprehensive Predictor 2023 - Exam 1 ( 180 Questions)

Question 10 :

A nurse is contributing to the plan of care for a client who has leukemia and is experiencing chronic fatigue.

Which of the following interventions should the nurse plan to include?



Correct Answer: D

Explanation:

Chronic fatigue is a common symptom experienced by clients with leukemia due to various factors, including the disease process, treatment side effects, and anemia. Encouraging strength- training exercises can be beneficial in managing fatigue in these clients. Engaging in regular physical activity, especially strength-training exercises, has been shown to improve muscle strength, endurance, and overall energy levels.

Strength-training exercises help build muscle mass and improve cardiovascular fitness, which can combat fatigue and enhance the client's ability to perform activities of daily living. However, it is essential to individualize the exercise plan based on the client's current physical abilities and energy levels. The nurse should work closely with the client and, if available, a physical therapist or exercise specialist to develop a safe and appropriate exercise program.

Let's briefly discuss the other options:

A- Increase protein in the diet: While a balanced diet that includes an adequate amount of protein is essential for overall health, increasing protein alone may not directly address the issue of chronic fatigue in leukemia clients. While adequate nutrition is important, simply increasing protein intake is not the most effective intervention for managing fatigue in this context.

B- Increase the client's fluids to 4 L per day: Adequate hydration is essential for overall health, but there is no evidence to suggest that increasing fluids alone will directly alleviate chronic fatigue in leukemia clients. The nurse should encourage adequate hydration based on the client's individual needs but should also consider other interventions to address fatigue.

C- Encourage the client to have continual bed rest: Although rest and sleep are important for individuals with leukemia to manage fatigue, promoting continual bed rest can lead to deconditioning and further exacerbate fatigue. Encouraging a balance between rest and physical activity is crucial to managing fatigue effectively.


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