The nurse is considering nutritional support for a client experiencing severe side effects of chemotherapy. Which independent and collaborative interventions will best limit the adverse digestive and nutritional effects of chemotherapy?
A) Encourage client to drink 350 ml of clear liquids within 1 hour prior to meals.
B) Position the client flat during intermittent enteral nutrition feedings.
C) Verify that enteral nutrition and total parenteral nutrition (TPN) are never used concurrently.
D) Offer the client music therapy in addition to IV ondansetron.
Answer: D
Alternative therapy including music therapy has been used for nausea and vomiting. Ondansetron is a serotonin receptor agonist used commonly and an antiemetic. Clients should be positioned with the HOB elevated 30 degrees during enteral nutrition feedings. Enteral nutrition and TPN are used concurrently. Nausea is worsened by drinking fluid within 1 hour of meals.
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