Nokea
A nurse is preparing a teaching plan for a client who has neutropenia as a result of radiation therapy for the treatment of lung cancer. Which of the following should the nurse plan to include in the teaching?
- A. Bottled water is an appropriate choice to increase fluid intake.
- B. The salad bar is a healthy choice when dining out.
- C. Soft-boiled eggs are an appropriate source of protein.
- D. Eating at a buffet is a good choice to increase caloric intake.
Correct Answer: A
Rationale: In neutropenia, which is a low count of neutrophils, the client is at a high risk of infection. It is crucial to emphasize the importance of proper hydration to maintain overall health. Bottled water is a safe choice as it reduces the risk of exposure to contaminants that could further compromise the client's immune system. The other options, like the salad bar, soft-boiled eggs, and eating at a buffet, may not be suitable for a client with neutropenia due to the risk of bacterial contamination or exposure to pathogens that could lead to infections, which should be avoided.
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A client who underwent surgical placement of a colostomy is being cared for by a nurse. Which of the following statements indicates the client understands the dietary teaching?
- A. "Eating yogurt can help decrease the amount of gas that I have."?
- B. "I should eliminate pasta from my diet so that I don't have as many loose stools."?
- C. "My largest meal of the day should be in the evening."?
- D. "Carbonated beverages can help control odor."?
Correct Answer: D
Rationale: The correct answer is D. Carbonated beverages can help control odor in clients with colostomies. This is because carbonated drinks can help decrease odor by reducing the production of odoriferous compounds in the colon. Choices A, B, and C are incorrect. Eating yogurt may help regulate bowel movements but does not specifically address odor control associated with colostomies. Eliminating pasta from the diet to reduce loose stools is not necessary for colostomy care. The timing of the largest meal of the day is not directly related to dietary teaching for colostomy care.
A client with stomatitis is receiving teaching from a nurse. Which of the following client statements indicates a need for further teaching?
- A. "I will drink liquids through a straw."?
- B. "I will season foods with dried spices before cooking."?
- C. "I will rinse my mouth with baking soda and water frequently."?
- D. "I will eat frozen bananas as a snack."?
Correct Answer: C
Rationale: The correct answer is, "I will rinse my mouth with baking soda and water frequently."? Stomatitis is an inflammation of the mucous lining in the mouth, and rinsing with baking soda and water can be too abrasive and further irritate the condition. Choices A, B, and D are appropriate self-care measures for a client with stomatitis and do not indicate a need for further teaching.
A healthcare provider is teaching a client about nutritional requirements necessary to promote wound healing. Which of the following nutrients should the provider include in the teaching?
- A. Protein
- B. Calcium
- C. Vitamin B1
- D. Vitamin D
Correct Answer: A
Rationale: Protein is crucial for wound healing as it plays a vital role in tissue repair and synthesis. Calcium is important for bone health but not directly related to wound healing. Vitamin B1 is essential for energy production but not specifically significant for wound healing. Vitamin D is essential for bone health and immune function but is not a primary nutrient emphasized for wound healing.
A nurse is providing discharge teaching for a client who has acute pancreatitis and has a prescription for fat-soluble vitamin supplements. The nurse should instruct the client to take a supplement for which of the following?
- A. Vitamin A
- B. Vitamin B1
- C. Vitamin C
- D. Vitamin B12
Correct Answer: A
Rationale: In acute pancreatitis, malabsorption of fat-soluble vitamins can occur due to pancreatic enzyme insufficiency. Vitamin A is a fat-soluble vitamin that may need supplementation in this case. Vitamin B1 (thiamine), Vitamin C, and Vitamin B12 are water-soluble vitamins and are not typically affected by pancreatic enzyme insufficiency in acute pancreatitis. Therefore, the correct supplement for the client with acute pancreatitis is Vitamin A.
A client who is postpartum and has been diagnosed with iron deficiency anemia should be taught to consume which of the following dietary recommendations?
- A. Yogurt and mozzarella
- B. Spinach and beef
- C. Milk and turkey slices
- D. Fish and cottage cheese
Correct Answer: C
Rationale: The correct answer is spinach and beef. Both spinach and beef are high in iron, making them excellent choices to help combat iron deficiency anemia. Yogurt, mozzarella, milk, turkey slices, fish, and cottage cheese are not as rich in iron compared to spinach and beef, so they are not the most suitable dietary recommendations for a client with iron deficiency anemia.