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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?

A.

Raisin toast

B.

Soft-serve ice cream

C.

String cheese

D.

Hot tea

Answer and Explanation

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 D

Explanation

A. Asking each nurse for information about the problem is essential, but it should occur after addressing the immediate need for privacy.

B. Listening to the concerns of each staff nurse is important, but doing so in a private area ensures confidentiality and reduces further escalation.

C. Discussing ways to resolve the conflict is necessary, but first creating a safe and private environment is vital for open communication.

D. Moving the staff nurses to a private area is the first step to ensure they can discuss their conflict without external pressures or interruptions, which facilitates a more constructive dialogue.

Correct Answer is D

Explanation

A. Establishing the priorities of client care is part of the planning phase, not the implementation phase.

B. Comparing laboratory values is an assessment activity that occurs before planning and implementing care.

C. Asking the client about pain is an assessment activity used to gather information rather than an implementation task.

D. Reinforcing teaching about the client's diagnosis is an action that occurs during the implementation phase, as it involves executing the care plan and providing direct client education.

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