A nurse in a long-term care facility is reinforcing teaching with a newly licensed nurse about chemotherapy-induced nausea. Which of the following food selections indicates the newly licensed nurse understands the teaching?
Raisin toast
Soft-serve ice cream
String cheese
Hot tea
The Correct Answer is A
A. Raisin toast is a bland carbohydrate that is generally well-tolerated and can help settle the stomach, making it a suitable choice for clients experiencing chemotherapy-induced nausea.
B. Soft-serve ice cream may be too rich and can upset the stomach for some clients undergoing chemotherapy, leading to increased nausea.
C. String cheese is high in fat and protein, which might not be well-tolerated during episodes of nausea, as heavy foods can exacerbate discomfort.
D. Hot tea may be soothing for some clients; however, certain herbal teas can sometimes provoke nausea or have an adverse effect, making it less ideal than bland carbohydrates.
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Correct Answer is A
Explanation
A. Activating the fire alarm is the immediate priority after ensuring the client's safety, as it alerts the entire facility to the potential danger and initiates the fire response protocol.
B. Closing the door to the client's room is important for containing the fire but is secondary to activating the alarm to ensure that emergency services are alerted.
C. Reporting the fire details to the facility emergency extension is necessary but should be done after the alarm has been activated to ensure that help is dispatched quickly.
D. Turning off electrical equipment may not be safe or possible in the event of a fire; the focus should be on evacuation and alerting emergency services.
Correct Answer is B
Explanation
A. Assisting a client with counting carbohydrates is important for managing diabetes, but it is not an urgent need that must be addressed immediately.
B. A client with a new tracheostomy who is experiencing coughing episodes may indicate a risk for airway obstruction or other complications, making this the most urgent situation that requires immediate intervention.
C. A client with a BMI of 17 who refuses dinner could be concerning for nutritional status, but it is not as critical as addressing potential airway issues with the tracheostomy client.
D. While demonstrating colostomy care is essential for discharge readiness, it can wait until more urgent needs are addressed. Ensuring the client with a tracheostomy is stable is the priority.