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A nurse in a provider's office is caring for a client.

Exhibits

Click to highlight the findings that indicate malnutrition. To deselect a finding, click on the finding again.

Nurses' Notes

Today.

Client presents to the office with their adult daughter. Daughter states the client's forgetfulness has increased. She states. "I often notice uneaten meals in the microwave when I come over to visit." Daughter also reports that the client fell 1 month ago and has a wound on their leg that won't heal. On assessment skin is rough and dry, lungs are clear bilaterally, abdomen is soft and concave, and edema noted to the face and lower extremities.

Vital Signs

Today

Temperature 37.7° C (98.9° F)

Heart rate 103/min

Respiratory rate 16/min

Blood pressure 102/68 mm Hg

Weight 65.9 kg (145 lb)

uneaten meals

wound on their leg that won't heal

skin is rough and dry

edema noted to the face and lower extremities

Weight 65.9 kg (145 lb)

Answer and Explanation

The Correct Answer is ["A","B","C","D"]

Uneaten meals suggest that the client is not consuming the food provided, which can lead to inadequate intake of nutrients and calories, thus indicating possible malnutrition.
A wound that won't heal can be a sign of malnutrition, as proper nutrition is essential for wound healing and maintenance of skin integrity.
Rough and dry skin can be indicative of malnutrition, particularly if there is a deficiency in essential fatty acids and other nutrients that maintain skin health.
Edema to the face and lower extremities can be a sign of protein-energy malnutrition, where the body does not get enough protein to maintain plasma oncotic pressure, leading to fluid accumulation in tissues.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is ["A","B","C","D","E"]

Explanation

A. Fasting glucose level: Elevated fasting glucose levels are a component of metabolic syndrome, indicating potential insulin resistance or diabetes.
B. HDL level: Low levels of HDL cholesterol are indicative of metabolic syndrome, as HDL helps remove cholesterol from the arteries.
C. Triglyceride level: High levels of triglycerides in the blood are a sign of metabolic syndrome and can lead to arterial plaque buildup.
D. Blood pressure reading: High blood pressure is a criterion for metabolic syndrome and can cause damage to the heart and arteries.
E. Waist circumference measurement: An increased waist circumference is a clear indicator of metabolic syndrome, reflecting central obesity.

A. 3 oz turkey B. 1/2 cup cooked peas C. 1 cup low-fat plain yogurt D. 1/2 cup cooked white rice

Correct Answer is B

Explanation

A. Turkey is a lean source of protein but is not particularly high in fiber.

B. Cooked peas are high in fiber and are a good choice for individuals with diverticular disease, as fiber can help prevent constipation and reduce the risk of diverticulitis flare-ups.
C. Low-fat plain yogurt is a good source of protein and calcium but is not particularly high in fiber.

D. Cooked white rice is low in fiber compared to other grains and legumes and may not provide significant benefits for individuals with diverticular disease.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an outpatient clinic is caring for a client. Exhibits When reviewing client data. which of the following client findings should the nurse identify as an indication of metabolic syndrome? Select all that apply.

Correct Answer is ["A","B","C","D","E"]

Explanation

A nurse is providing dietary teaching to a client who has diverticular disease. Which of the following food choices should the nurse recommend as having the highest fiber content?

Correct Answer is B

Explanation

A client is prescribed a 1,500-calorie diet. Thirty percent of the calories are to be derived from fat. How many grams of fat should the nurse tell the client to consume per day? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is caring for a client who follows strict halal dietary guidelines. Which of the following should the nurse remove from the available food choices?

A nurse is teaching the family of a school-age child who is obese about complications of childhood obesity. Which of the following conditions should the nurse include in the teaching?

A nurse is caring for a client who has myasthenia gravis. Which of the following actions should the nurse take?

A nurse is caring for a client who has acute kidney injury and has been prescribed total parenteral nutrition (TPN). When educating the client on the use of TPN, which of the following information should the nurse include?

A nurse in a critical care unit is assessing an adult client. Which of the following findings by the nurse indicates a fluid volume deficit?

A nurse in a long-term care facility is implementing a nutrition plan for a client who is at risk for malnutrition. Which of the following actions should the nurse include in the plan? (Select all that apply.)

A nurse is providing discharge teaching about food choices to a client who has hypokalemia. Which of the following foods should the nurse identify as the best source of potassium?