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 A

Explanation

Choice A rationale

The oculomotor nerve (cranial nerve III) is responsible for innervating the muscles that move the eye and lift the eyelid, as well as controlling pupil constriction and lens shape for focusing.

Choice B rationale

The vestibulocochlear nerve (cranial nerve VIII) is involved in hearing and balance, not in the movement of eye muscles or eyelids.

Choice C rationale

The facial nerve (cranial nerve VII) controls muscles of facial expression, taste sensations from the anterior two-thirds of the tongue, and functions in tear and saliva production.

Choice D rationale

The trigeminal nerve (cranial nerve V) is responsible for sensation in the face and motor functions such as biting and chewing, not for eye movements.

A. Wash hands, apply a pediculicide to the client's scalp, and remove any observable mites. B. Place the client on enteric precautions. C. Isolate the client's bed linens until the client is no longer infectious. D. Notify the nurse in the day surgery unit of a potential scabies outbreak.

Correct Answer is C

Explanation

Choice A rationale

Pediculicides are used to treat lice, not scabies. Proper hand hygiene is important, but applying pediculicide is not necessary for scabies management.

Choice B rationale

Enteric precautions are for infections transmitted via the fecal-oral route, not for scabies, which requires contact precautions.

Choice C rationale

Isolating the client's bed linens and applying contact precautions help prevent the spread of scabies to other clients.

Choice D rationale

Notifying the day surgery unit of a potential scabies outbreak is important, but it does not directly prevent infection in other clients.

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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.

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Naxlex Comprehensive Predictor Exams

Which cranial nerve is responsible for muscles that move the eye and lids?

Correct Answer is A

Explanation

A nurse discovers scabies when assessing a client who has just been transferred to the medical-surgical unit from the day surgery unit. To prevent scabies infection in other clients, the nurse should:

Correct Answer is C

Explanation

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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.