A client receiving their second cycle of chemotherapy expresses food aversion to meals. Which of the following actions should the nurse provide?
1. Take an antiemetic before eating
2. Small portions more frequently
3. Only foods the client likes
4. Administer dietary supplements
2
Rationale: Learned food aversions can occur in patients who have experienced adverse effects of treatment and have come to associate those effects with the food consumed at that time. Small meals are not overwhelming and do not upset the stomach as easily. Antiemetics are given for nausea. Providing only foods the client likes does not ensure adequate nutrition. Administration of dietary supplements is not an independent nursing intervention nor does it manage the client's primary complaints.
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During long-term desmopressin therapy in a 48-year-old woman, it will be most important for the nurse to assess which of the following?
A) The patient's environment B) The patient's diet C) The condition of the patient's skin D) The condition of the patient's nasal passages
Select the desired outcome for a patient who uses valerian. The patient will report
a. a lower stress level. b. undisturbed sleep throughout the night. c. an increased interest in recreational activities. d. awakening without an alarm clock in the morning.
Your patient is a 20-year-old male who is conscious, alert, and in severe distress. He describes a three day history of diffuse abdominal pain near his umbilicus that became sharp and migrated to his lower right quadrant this morning. He states that the pain became acutely worse half an hour ago and that he is now light headed and nauseated and has vomited numerous times. You believe he may be suffering from appendicitis. Based on his clinical presentation, the most proper treatment, in addition to giving oxygen, would be
A. IV of normal saline wide open, Trendelenburg position, rapid transport
B. Provide comfort, expedited transport
C. IV of normal saline wide open, left lateral recumbent position, Phenergan IV, transport
D. Provide comfort, manage the airway, establish IV access, expedited transport
What is the purpose of performing a cost-accounting study?
a. To detect what percentage of clients re-cover b. To measure how long it takes for clients to see a provider c. To note how many cases are associated with other major risk factors d. To find the actual cost of a program