8. A client with cancer has anorexia and loss of weight. Which intervention should a nurse perform first?
8. A client with cancer has anorexia and loss of weight. Which intervention should a nurse perform first?
. Giving TPN through a central line.
. Starting liquid nutrition through a gastric port.
. Starting liquid nutrition through a duodenal port.
. Giving megestrol and a diet of choice with nutritional supplements.
Test-Taking Tip
Only one option focuses on oral intake. The other three are more invasive or aggressive.
Content Area: Adult Health, Oncological; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need: Physiological Integrity/Basic Care and Comfort/Nutrition and Oral Hydration
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Answer 1 is incorrect because TPN may be necessary, but it is not the first strategy to try. The gastrointestinal system should be used for nutrition when functional. Answer 2 is incorrect because light nutrition via a feeding tube may be necessary, but is not the first strategy to try in a client who is able to swallow. Answer 3 is incorrect because, although administration of enteral feedings via a tube is a reasonable strategy to manage malnutrition, less invasive strategies should be tried first. Answer 4 is correct because malnutrition in cancer clients is complicated and often difficult to manage. While megestrol stimulates appetite, nutritional supplements provide nutrients.