You are caring for a client on tube feedings. The physician has ordered Osmolite HN as the feeding formula for the client. The family asks why the physician has ordered Osmolite HN instead of another formula to feed their family member
What is an important reason that tube-feeding formulas, such as Impact, Osmolite HN, or Perative, be recommended to clients? A) To suppress immune system function
B) To block tumor necrosis factor
C) To enhance the production of lymphocytes and NK cells
D) To stimulate the immune system to attack tumor cells
C
Feedback:
Immune-enhancing tube-feeding formulas enhance the production of lymphocytes and NK cells, resulting in increased cell-mediated immunity. Drugs such as azathioprine, cyclosporine, and muromonab-CD3 suppress immune system function, whereas infliximab and etanercept minimize inflammation by blocking tumor necrosis factor. Aldesleukin is used as biologic therapy for clients who do not respond to conventional cancer treatment. Aldesleukin stimulates the immune system's ability to attack tumor cells.
You might also like to view...
Your patient has a diagnosis of bladder cancer with metastasis. The patient asks you about hospice. Which principle applies to a hospice setting?
A) Death must be accepted. B) Symptoms of terminal illness should not be treated. C) Each member of the interdisciplinary team develops an individual plan of care for the patient. D) Terminally ill patients should die in the hospital.
A 5-year-old patient seen in an outpatient clinic is noted to have hypertension on three separate visits. Ambulatory blood pressure monitoring confirms that the child has hypertension
As an initial intervention with the child's parents, the nurse will expect to: a. perform a detailed health history on the child. b. provide teaching about antihypertensive medications. c. reassure the parents that their child may outgrow this condition. d. teach the parents about lifestyle changes and a special diet.
A nurse is reviewing the white blood cell count with differential for a client receiving chemothe-rapy for cancer. Which finding alerts the nurse to the possibility of sepsis?
a. Total white blood cell count is 9000/mm3. b. Lymphocytes outnumber basophils. c. "Bands" outnumber "segs." d. Monocyte count is 1800/mm3.
The nurse recognizes that which one of the following statements is correct concerning comple-mentary and alternative medicine?
1. One third to one half of the U.S. population uses one or more forms of alternative therapy. 2. Insurance coverage is available at the same amount as for traditional medicine. 3. Use of alternative therapies is still not incorporated into medical journals. 4. Use of alternative therapies is primarily by those who are less educated or in a lower socioeconomic group.