Nokea
A nurse at a provider’s office is providing teaching to a client who is taking chemotherapy and losing weight. Which of the following should the nurse recommend to increase calorie and protein intake? (Select all that apply)
- A. Add cream to soups.
- B. Dip meats in eggs and bread crumbs before cooking.
- C. Use milk instead of water in recipes.
- D. Top fruits with yogurt.
- E. Increase fluids during meals.
Correct Answer: A,B,C,D
Rationale: The correct answers are A, B, C, and D. Adding cream to soups, dipping meats in eggs and bread crumbs, using milk instead of water in recipes, and topping fruits with yogurt are all effective ways to increase calorie and protein intake for a client undergoing chemotherapy and losing weight. Cream, eggs, bread crumbs, milk, and yogurt are all calorie-dense and protein-rich foods that can help the client meet their nutritional needs. These options provide additional nutrients without adding bulk, making them suitable for someone with a reduced appetite. Choices E, F, and G are incorrect because increasing fluids during meals does not directly address the need for increased calories and protein, and options F and G are not provided in the question.
You may also like to solve these questions
A nurse is preparing to administer 0.9% sodium chloride IV infusion 1-L bag at a rate of 200 mL/hr for a client who has rhabdomyolysis. The nurse should expect the IV pump to infuse over how many hours? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Correct Answer: 5
Rationale: To calculate the infusion time, divide the total volume (1000 mL) by the rate of infusion (200 mL/hr). This gives 5 hours for the IV pump to infuse the 1-L bag. The correct answer is 5. Other choices are incorrect because they do not result from the correct calculation. Choice A: 2 hours (incorrect, not enough time for the infusion). Choice B: 3 hours (incorrect, not enough time for the infusion). Choice C: 4 hours (incorrect, not enough time for the infusion). Choice D: 6 hours (incorrect, too long for the infusion). Choice E: 7 hours (incorrect, too long for the infusion). Choice F: 8 hours (incorrect, too long for the infusion). Choice G: 9 hours (incorrect, too long for the infusion).
A nurse is preparing to administer a bisacodyl suppository to a client. Which of the following actions should the nurse take? (Select all that apply)
- A. Don sterile gloves.
- B. Position the client supine with knees bent.
- C. Use a rectal applicator for insertion.
- D. Insert the suppository just beyond the internal sphincter.
- E. Lubricate the index finger.
Correct Answer: D,E
Rationale: The correct actions for administering a bisacodyl suppository are to insert it just beyond the internal sphincter (D) to ensure proper absorption and effectiveness. Lubricating the index finger (E) helps facilitate easier insertion and reduces discomfort for the client. Donning sterile gloves (A) is not necessary for this procedure. Positioning the client supine with knees bent (B) is not required; the Sims position is typically used. Using a rectal applicator for insertion (C) is not recommended for bisacodyl suppositories.
A nurse is caring for a client who has hypertension and has a potassium level of 6.8 mEq/L. Which of the following actions should the nurse take?
- A. Obtain a 12-lead ECG.
- B. Suggest that the client use a salt substitute.
- C. Ask the client to add citrus juices and bananas to her diet.
- D. Obtain a blood sample for a serum sodium level.
Correct Answer: A
Rationale: The correct answer is A: Obtain a 12-lead ECG. A potassium level of 6.8 mEq/L is significantly elevated (normal range is 3.5-5.0 mEq/L) and can lead to serious cardiac complications, such as arrhythmias. Therefore, obtaining an ECG is crucial to assess the client's cardiac status. Choice B (salt substitute) is incorrect as it can further elevate potassium levels. Choice C (citrus juices and bananas) is incorrect as these are high-potassium foods that should be avoided. Choice D (serum sodium level) is irrelevant to the client's elevated potassium level.
A nurse is assessing a client who has hypothyroidism. Which of the following findings should the nurse expect?
- A. Exophthalmos
- B. Photophobia
- C. Lethargy
- D. Weight loss
Correct Answer: C
Rationale: Rationale: Hypothyroidism is characterized by decreased thyroid hormone levels, leading to symptoms such as lethargy due to slowed metabolism. Exophthalmos (bulging eyes) is associated with hyperthyroidism. Photophobia (sensitivity to light) is not a common symptom of hypothyroidism. Weight loss is more indicative of hyperthyroidism due to increased metabolism. Therefore, the correct answer is C: Lethargy, as it aligns with the expected findings in hypothyroidism.
A nurse is assessing a client who has hyperthyroidism. The nurse should expect the client to report which of the following manifestations?
- A. Constipation
- B. Sensitivity to cold
- C. Weight gain of 4.5 kg (10 lbs) in 3 weeks
- D. Frequent mood changes
Correct Answer: D
Rationale: The correct answer is D: Frequent mood changes. In hyperthyroidism, there is an excessive production of thyroid hormones leading to symptoms such as irritability, anxiety, and mood swings. This is due to the increased metabolic activity caused by the excess thyroid hormones. Constipation (A) is more common in hypothyroidism. Sensitivity to cold (B) is also seen in hypothyroidism due to decreased metabolic rate. Weight gain of 4.5 kg (10 lbs) in 3 weeks (C) is unlikely in hyperthyroidism as it usually leads to weight loss. Therefore, choice D is the most appropriate manifestation for hyperthyroidism.