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 f

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ATI Nutrition

1. 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.

2. In monitoring the patient in PACU, the nurse correctly identifies that checking the patient's vital signs is done every:

A. 1 hour
B. 5 minutes
C. 15 minutes
D. 30 minutes

Correct answer: A

Rationale: Correct Answer: A - Vital signs monitoring in the PACU (Post-Anesthesia Care Unit) is typically done every hour to closely monitor the patient's condition during the immediate postoperative period. This frequency allows the nurse to promptly identify any changes in the patient's vital signs and intervene as necessary. Choice B (5 minutes) is too frequent for routine vital signs monitoring in the PACU and may not allow for a comprehensive assessment of the patient's stability. Choice C (15 minutes) and Choice D (30 minutes) are also not in line with the standard practice of vital signs monitoring in the PACU, which is typically hourly.

3. What describes a criterion used to diagnose diabetes?

A. a plasma glucose concentration of 100 mg/dL or higher after a fast of at least 12 hours
B. a casual blood sample of 200 mg/dL or higher in a person with classic symptoms
C. a plasma glucose concentration measured two hours after a 200-gram glucose load is 400 mg/dL or higher
D. a HbA1C higher than 5 percent

Correct answer: B

Rationale: A casual blood sample of 200 mg/dL or higher in a person with classic symptoms is a diagnostic criterion for diabetes. This choice aligns with the typical clinical presentation of diabetes and is a key diagnostic indicator. Choices A, C, and D do not accurately reflect the established criteria for diagnosing diabetes, making them incorrect. Choice A pertains to a fasting plasma glucose level, Choice C involves a glucose challenge test, and Choice D refers to HbA1C levels, which are used for monitoring blood sugar control over time, not for diagnosing diabetes.

4. Which of the following is NOT a part of a process recording?

A. Non-verbal narrative account
B. Analysis and interpretation
C. Audio-visual recording
D. Verbal narrative account

Correct answer: C

Rationale: A process recording typically includes a non-verbal narrative account (Choice A), an analysis and interpretation (Choice B), and a verbal narrative account (Choice D). These components help in providing a comprehensive assessment of a patient's condition and ensuring that interventions are appropriately targeted for optimized outcomes. An audio-visual recording (Choice C), while it can be a part of some data collection processes, is not typically included in a process recording, making it the correct answer.

5. In persons who are obese, weight reduction can improve such CHD risk factors as hypertension, blood lipid abnormalities, and?

A. inflammation
B. insulin resistance
C. gastrointestinal motility disorders
D. damage from cigarette smoking

Correct answer: B

Rationale: Weight reduction in obese individuals can improve insulin resistance, a key factor in reducing the risk of coronary heart disease and type 2 diabetes.