a nurse at a providers office is providing teaching to a client who is taking chemotherapy and losing weight which of the following should the nurse r

ATI RN

ATI Nutrition

1. 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 one that does not apply.)

A. Top yogurt with fruits.
B. Add cream to soups.
C. Use milk instead of water in recipes.
D. Increase fluids during meals.

Correct answer: D

Rationale: The correct recommendation to increase calorie and protein intake for a client taking chemotherapy and losing weight is to add cream to soups (choice B), as it provides additional calories and proteins. Using milk instead of water in recipes (choice C) can also increase the calorie and protein content. Topping yogurt with fruits (choice A) can be a healthy choice but may not significantly increase calorie and protein intake. Increasing fluids during meals (choice D) may fill up the stomach, potentially reducing the intake of solid foods, which is not ideal when trying to increase calorie and protein consumption.

2. A nurse is developing a plan of care for a client who has anorexia nervosa. Which of the following actions should the nurse include in the plan?

A. Encourage the client to participate in developing a system of rewards.
B. Arrange for someone to remain with the client for 30 minutes after meals.
C. Offer the client a selection of beverages at each meal.
D. Inform the client that a weight gain of 2.3 kg per week is expected.

Correct answer: A

Rationale: Encouraging the client to participate in developing a system of rewards is an essential part of the plan of care for a client with anorexia nervosa. This action can help motivate and engage the client in their treatment plan, promoting a sense of achievement and progress. Choice B, arranging for someone to remain with the client for 30 minutes after meals, may not address the underlying issues related to anorexia nervosa and could potentially disrupt the client's independence. Choice C, offering a selection of beverages at each meal, is not directly related to addressing the client's condition of anorexia nervosa. Choice D, informing the client about an expected weight gain, could increase anxiety and may not be appropriate without considering the client's individual progress and readiness.

3. What dietary factor raises triglyceride levels?

A. high refined carbohydrate intake
B. low soluble fiber intake
C. high iron intake
D. low fat intake

Correct answer: A

Rationale: The correct answer is A: high refined carbohydrate intake. High intake of refined carbohydrates, such as sugars and white flour, can lead to elevated triglyceride levels, increasing the risk of cardiovascular disease. Choice B, low soluble fiber intake, is incorrect because soluble fiber actually helps lower triglyceride levels. Choice C, high iron intake, is incorrect as iron intake is not directly linked to raising triglyceride levels. Choice D, low fat intake, is also incorrect as not all fats raise triglyceride levels; it depends on the type of fat consumed.

4. When administering Tapazole, The nurse should monitor the client for which of the following adverse effect?

A. Hyperthyroidism
B. Hypothyroidism
C. Drowsiness
D. Seizure

Correct answer: C

Rationale: Effective nursing care involves comprehensive assessments that address all aspects of a patient's condition, ensuring that interventions are appropriately targeted and outcomes are optimized.