A newly admitted client has gained weight steadily over the past 2 years and the nurse recognizes the need for a nutritional assessment.
What assessment parameters should the nurse include? Select all that apply.

Coping strategies.

Wrist circumference.

Clinical examination findings.

BMI.

Dietary data.

Answer and Explanation

Correct Answer : C,D,E

Choice A rationale

Coping strategies are relevant to overall health and well-being, but they are not directly related to nutritional assessment. Nutritional assessments focus on physical and dietary data rather than psychological coping mechanisms.

Choice B rationale

Wrist circumference can be used as an anthropometric measure of body frame size, but it is not a standard parameter in a comprehensive nutritional assessment. More common measurements include height, weight, and BMI.

Choice C rationale

Clinical examination findings are critical in nutritional assessments to identify physical signs of malnutrition, such as muscle wasting, edema, or skin changes. These observations help assess the client’s nutritional status and needs.

Choice D rationale

BMI (Body Mass Index) is a widely used indicator of body fat based on height and weight. It helps classify individuals into categories like underweight, normal weight, overweight, or obese, providing insight into nutritional health.

Choice E rationale

Dietary data, including food intake, preferences, and restrictions, are essential components of a nutritional assessment. Understanding a client's dietary habits allows the nurse to identify nutritional deficiencies or excesses and plan appropriate interventions

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Correct Answer is D

Explanation

Choice A rationale

The occipital lobe is responsible for processing visual information and does not play a significant role in spatial relationships.

Choice B rationale

The frontal lobe is involved in higher cognitive functions, decision-making, and voluntary movements, but it is not primarily responsible for spatial relationships.

Choice C rationale

The temporal lobe is involved in auditory processing, language comprehension, and memory formation. It is not primarily responsible for spatial relationships.

Choice D rationale

The parietal lobe is responsible for processing sensory information and plays a crucial role in spatial relationships, helping to understand and navigate the environment.

A. Provide autolytic debridement. B. Decrease epidermal resurfacing. C. Enhance the absorption of topical medications. D. Promote the formation of a protective scab that traps excess exudate. E. Promote the formation of a protective scab that traps excess exudate.

Correct Answer is A

Explanation

Choice A rationale

Autolytic debridement is the natural process by which the body breaks down and removes dead tissue. Moisture-retentive dressings create an optimal environment for this process, facilitating wound healing.

Choice B rationale

Decreasing epidermal resurfacing is not a recognized benefit of moisture-retentive dressings. These dressings aim to promote healing, not inhibit epidermal growth.

Choice C rationale

While moisture-retentive dressings can help with the absorption of topical medications, this is not their main advantage. The primary benefit is creating a conducive environment for autolytic debridement.

Choice D rationale

Promoting the formation of a protective scab that traps excess exudate is not the main advantage of moisture-retentive dressings. In fact, these dressings help manage exudate and reduce the risk of infection without forming a scab.

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A newly admitted client has gained weight steadily over the past 2 years and the nurse recognizes the need for a nutritional assessment. What assessment parameters should the nurse include? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which lobe of the brain is responsible for spatial relationships?

Correct Answer is D

Explanation

The nurse applies a moisture-retentive dressing to a client's wound. The nurse understands that the main advantage of this dressing, rather than a wet dressing, is its ability to:

Correct Answer is A

Explanation

A client is scheduled for a bone scan to rule out osteosarcoma of the pelvic bones. Which client status would be most important for the nurse to verify before the client's scan?

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A client receives treatment for a dermatophyte infection of the toenail. How would the nurse document this condition in the chart?

A nurse is caring for a client with a diagnosis of trigeminal neuralgia. Which activity is altered as a result of this diagnosis?

A client's fracture is healing and compact bone is replacing spongy bone around the periphery of the fracture. This process characterizes what phase of the bone healing process?

The nurse is assessing a client with toxic epidermal necrolysis (TEN). What assessment data would indicate that the client may be progressing to keratoconjunctivitis? Select all that apply.

A client is being treated for prolonged diarrhea. Which foods should the nurse encourage the client to consume?

A newly admitted client has gained weight steadily over the past 2 years and the nurse recognizes the need for a nutritional assessment.
What assessment parameters should the nurse include? Select all that apply.