A client receiving their second cycle of chemotherapy expresses ...

[anjilletteb]

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

Question 2

After surgery, patients may resume oral intake when
 
  a. they have bowel sounds.
  b. their appetite returns.
  c. they are able to sit upright.
  d. their blood glucose level is normal.

[krakiolit]

Answer to Question 1

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.

Answer to Question 2

A
After surgery, patients may resume oral intake when they have bowel sounds, because this indi-cates that their gastrointestinal tract is working. Appetite may not return for several days, but pa-tients still need nutrients and so they need to eat anyway. Patients should not eat lying down be-cause of the risk of aspiration, but do not need to be able to sit completely upright to eat. Blood glucose level is not an indicator of whether the patient is ready to resume oral intake.

[anjilletteb]

Excellent

[scottmt]

TYSM