The nurse established the nursing diagnosis of Alteration in nutrition: less than body requirements, related to persistent mild nausea. Which intervention should the nurse use for the diagnosis?
1. Complete the menu so the client can eat later.
2. Ask about specific foods the client may tolerate.
3. Withhold food and fluids until nausea resolves.
4. Provide cream of tomato soup every two hours.
2
2. The nurse chooses an intervention to help accomplish the plan of care, so the nurse asks the client for suggestions about specific foods the client is likely to tolerate. The client has a nutritional deficiency already, so any nourishing food that will not ag-gravate the nausea is a good starting point.
1. The nurse is a poor choice to complete the menu because the nurse does not know the client's food preferences. A family member or the client may be able to complete the menu as long as doing so does not aggravate the nausea.
3. Clients are not kept NPO except when vomiting, so withholding the food and flu-ids may be an extreme measure.
4. Creamed soups are poor choices for clients with nausea because they tend to ag-gravate nausea.
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