A nurse is caring for a client who has malnutrition. Which of the following findings should the nurse report to the provider?

BMI of 18.5

Potassium 3.7 mEq/L

Phosphorus 3.5 mg/dL

Albumin 2.5 g/dL

Answer and Explanation

The Correct Answer is D

Choice A reason: BMI of 18.5 is at the lower end of the normal range (18.5-24.9), but it does not indicate severe malnutrition.

Choice B reason: Potassium 3.7 mEq/L is within the normal range (3.5-5.0), and it does not indicate electrolyte imbalance due to malnutrition.

Choice C reason: Phosphorus 3.5 mg/dL is within the normal range (2.5-4.5), and it does not indicate mineral deficiency due to malnutrition.

Choice D reason: Albumin 2.5 g/dL is below the normal range (3.5-5.0), and it indicates protein deficiency due to malnutrition. Albumin is a major protein in blood plasma that helps maintain fluid balance, transport hormones, and fight infections. Low albumin levels can cause edema, weakness, infection, and poor wound healing.

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Correct Answer is C

Explanation

Choice A reason: Using an electronic device is not a reliable method for measuring blood pressure because it may give inaccurate readings due to movement, noise, or battery issues. An electronic device should be calibrated regularly and compared with a manual device.

Choice B reason: Inflating the cuff to 140/90 mmHg is not a correct procedure for measuring blood pressure because it may cause discomfort and false readings. The cuff should be inflated to about 20 to 30 mmHg above the expected systolic pressure or until the pulse disappears.

Choice C reason: Placing the cuff on the upper arm is a correct procedure for measuring blood pressure because it ensures that the cuff is at the same level as the heart and that the brachial artery is compressed. The cuff should be snug and fit around 80% of the arm circumference.

Choice D reason: Measuring blood pressure after exercise is not a good time for measuring blood pressure because it may reflect a temporary increase due to physical activity. Blood pressure should be measured after resting for at least 5 minutes in a quiet and comfortable environment.

A. I can choose an avocado dip instead of salsa. B. I will include 7 ounces of fish in my diet weekly. C. I will use margarine on my waffles. D. I can eat the skin on poultry if it is broiled.

Correct Answer is B

Explanation

Choice A reason: Avocado dip is high in fat and calories, even though it is mostly unsaturated fat. It is not a good choice for a low-fat diet.

Choice B reason: Fish is a good source of protein and omega-3 fatty acids, which can lower blood cholesterol and triglycerides. The American Heart Association recommends eating at least two servings of fish per week, especially fatty fish like salmon, tuna, and mackerel.

Choice C reason: Margarine is made from vegetable oils and may contain trans fats, which can raise LDL (baD. cholesterol and lower HDL (gooD. cholesterol. It is better to use a small amount of butter or a non-fat spread on waffles.

Choice D reason: The skin on poultry is high in fat and cholesterol, and should be removed before cooking or eating. Broiling does not reduce the fat content of the skin.

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A nurse is caring for a client who has malnutrition. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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