A client who is receiving chemotherapy for metastatic renal carcinoma has a decreased appetite. The nurse knows that which of the following diets is most likely to meet the nutritional needs of this client?
A) Meat, milk, and chopped parsley
B) Lettuce, cereal, and orange juice
C) Brussels sprouts, bread, and pasta
D) Chopped celery, rice, and apple
A
Feedback:
A diet consisting of meat, milk, and chopped parsley is most likely to meet the nutritional needs of this client, because it is high in proteins, carbohydrates, and vitamins. The diet must be high in protein and carbohydrates because cancer and its therapy can deplete protein from the body and alter the nutritional status. Diets consisting of lettuce, cereal, and orange juice; brussels sprouts, bread, and pasta; or chopped celery, rice, and apple are low in protein and, hence, not recommended for this client.
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The public health nurse is presenting a health promotion class to a group of new mothers. How should the nurse best define health?
A) Health is being disease free. B) Health is having fulfillment in all domains of life. C) Health is having psychological and physiological harmony. D) Health is being connected in body, mind, and spirit.
What should the nurse instruct an older client to do to support healthy eating habits? Select all that apply.
1. Increase intake of whole fruits. 2. Limit ready-to-eat meals. 3. Choose no-sugar-added desserts. 4. Use nuts or healthy oils on salads. 5. Eat quickly to avoid feeling full.
Which of the following measures is equivalent to 1 grain?
a. 15 milligrams c. 45 milligrams b. 30 milligrams d. 60 milligrams
An older client has no family in the same community, lives alone in a small house, and is having greater difficulty with mobility due to advanced osteoarthritis
Cognitively, this client is alert, is able to manage her own business matters, and does her own cooking, but does not enjoy "cooking for one." The home health nurse who visits has noticed that the client is losing weight and does not have as much energy or interest in activities as on previous visits. What should the nurse recommend for this client? 1. See a psychiatrist because the client appears to be depressed. 2. Check out joint replacement options for the osteoarthritis. 3. Start thinking about long-term care. 4. Consider moving to an assisted living facility.