PN Adult Medical Surgical Practice Exam

Which statement by a client receiving chemotherapy for leukemia shows an understanding of nutrition guidelines?

1. "I drink bottled water."

2. "I eat at a salad bar for lunch."

3. "I like to eat steak cooked medium."

4. "I put plenty of pepper on my soft-boiled eggs."

The correct answer is: "I drink bottled water."

The statement "I drink bottled water" indicates an understanding of nutrition guidelines for clients undergoing chemotherapy, especially for those with compromised immune systems due to leukemia. Clients receiving chemotherapy often have increased susceptibility to infections, making it critical for them to ensure that their drinking water is safe and free from contaminants. Bottled water is typically considered safer than municipal tap water, particularly if there are concerns about water quality or if the client’s immune system is weakened. In contrast, eating at a salad bar raises the risk of foodborne illness due to potential contamination, which can be particularly dangerous for those undergoing treatment. Consuming steak cooked medium may also pose a risk, as it may not be cooked to a safe temperature, thus possibly harboring harmful bacteria. Similarly, adding plenty of pepper to soft-boiled eggs is not inherently problematic, but it does not demonstrate a particular awareness of food safety or nutrition guidelines critical for someone on chemotherapy. Understanding how to maintain food safety and choose appropriate nutritional options is essential in the nutrition management of clients receiving chemotherapy.