Author Question: A patient with cancer is diagnosed with malnutrition. What does the nurse realize are causes of ... (Read 37 times)

oliviahorn72 · **on:** Jun 25, 2018

A patient with cancer is diagnosed with malnutrition. What does the nurse realize are causes of malnutrition in this patient?

Select all that apply.
1. decreases in metabolism resulting from increased cancer cell production
2. decreased available nutrients due to the cancers parasitic activity
3. loss of appetite due to side effects of chemotherapy
4. decreased absorption in the gastrointestinal tract
5. parenteral nutrition supplements administered via venous access devices

Question 2

The nurse realizes that a patient receiving chemotherapy for cancer is at risk for developing an infection. What actions should the nurse take when caring for this patient?

Select all that apply.
1. Monitoring red blood cell counts monthly.
2. Teaching the patient to avoid small children.
3. Teaching the patient to apply lotion daily to clean skin to prevent drying.
4. Encouraging the patient to consume a diet high in protein and vitamin C.
5. Teaching the patient to report an oral temperature above 98 F.

wfdfwc23 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2, 3, 4
The patient with cancer may have a decreased amount of available nutrients. The patient may lose his or her appetite. The patient may not be able to absorb the nutrients well from the gastrointestinal tract.
The patient's metabolism will not decrease, it will increase. Parenteral nutrition is not a cause of malnutrition. It can be used to help the patient with cancer.

Answer to Question 2

Correct Answer: 2, 3, 4
Although RBCs are monitored, they do not diagnose infection as do WBCs. Teach the patient to avoid crowds, small children, and people with infections when WBC count is at nadir (lowest point during chemotherapy) and to practice scrupulous personal hygiene. Teach appropriate skin care measures, such as the use of a moisturizing lotion to prevent dryness and cracking ensures intact skin. Improving nutrition decreases the risk of infection. Vitamin C has been shown to help prevent certain types of infection, such as colds. A temperature of 98 F is normal and does not need to be reported to the nurse or physician.