Mr. R is complaining of frequent nausea and vomiting. The provider has examined him and suggested he alter his regular eating habits. The nurse suggests that he:
1. Limit his diet to high-carbohydrate liquids and foods in small amounts throughout the day. 2. Be considered for total parentral nutrition (TPN) since he has been vomiting since yesterday. 3. Try to move around as much as possible after eating to speed digestion. 4. Try foods high in fat and protein to provide ample calories for energy.
1
Rationale: If a client is experiencing intermittent nausea and vomiting, a high-carbohydrate diet consisting of foods or liquids in small portions throughout the day will promote adequate nutrition and hydration. TPN is reserved for clients who are unable to tolerate any intake for several days. Clients should be advised to avoid or limit physical activity just before and after eating. High-fat foods should be avoided since they take longer to empty from the stomach and may promote nausea.
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