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 healthcare professional is reviewing the lab findings of a client who has Clostridium Difficile. Which of the following findings should indicate to the healthcare professional that the client is experiencing Fluid Volume Deficit?

A. Hct 53%
B. Potassium 3.5
C. Sodium 145
D. HbA1c 5

Correct answer: A

Rationale: An elevated hematocrit level (Hct 53%) indicates hemoconcentration, a sign of fluid volume deficit. Hct measures the percentage of red blood cells in the blood and increases when there is a decrease in plasma volume, as seen in fluid volume deficit. Choices B, C, and D do not directly relate to fluid volume status. Potassium and sodium levels are more indicative of electrolyte imbalances, while HbA1c reflects average blood sugar levels over the past 2-3 months and is not specific to fluid volume status.

3. In kidney disease, which mineral should a patient limit intake of?

A. Calcium
B. Magnesium
C. Phosphorus
D. Potassium

Correct answer: C

Rationale: In kidney disease, patients are advised to limit the intake of phosphorus. High levels of phosphorus can be problematic as the kidneys may not be able to effectively filter it out, leading to bone health issues. Calcium (Choice A) is important for bone health, but its restriction is not typically necessary in kidney disease. Magnesium (Choice B) and potassium (Choice D) restrictions may be required in certain cases of kidney disease, but phosphorus is the mineral most commonly limited due to its impact on bone health.

4. If there is an accidental injury to the parathyroid gland during a thyroidectomy which of the following might Leda develop postoperatively?

A. Cardiac arrest C. Respiratory failure
B. Dyspnea D. Tetany
C.
D.

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.