The nurse is providing care for a client undergoing chemotherapy for throat cancer. Which of the following is an appropriate nursing consideration for this client?
A) Encourage the client to drink at least 4 glasses of liquids per day.
B) Instruct the client in the implications of high blood counts.
C) Disregard a client who states that he wishes to discontinue treatment.
D) Help the client to plan a high-calorie, high-protein diet.
D
Feedback:
The nurse should provide a dietary consultation that includes information on a high-calorie, high-protein diet and encourage adequate fluid intake, of at least eight glasses per day. Then nurse should also instruct the client in the implications of low blood counts, such as the potential for infection, fatigue, or abnormal bleeding. The client may become discouraged or physically ill and may wish to discontinue treatment. The nurse could help by listening to the client and providing encouragement.
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