A nurse is performing a nutritional screening for a client. Which of the following statements by the client indicates the need for further data collection?
"I eat at least two meals every day and snack frequently."
"I drink 4 ounces of wine with dinner several times each week."
"I take several prescription medications every day."
"I am able to keep my weight steady without gaining or losing."
The Correct Answer is C
A. "I eat at least two meals every day and snack frequently.": Consuming at least two meals daily with additional snacks suggests a relatively consistent caloric intake. While a full dietary recall would still be appropriate, this statement alone does not immediately suggest nutritional risk without evidence of poor food quality or imbalance.
B. "I drink 4 ounces of wine with dinner several times each week.": Moderate alcohol intake, such as 4 ounces of wine with dinner, may not independently indicate nutritional compromise. Although excessive alcohol can interfere with nutrient absorption and metabolism, this amount does not automatically suggest malnutrition without additional risk factors.
C. "I take several prescription medications every day.": Multiple prescription medications raise concern for potential drug–nutrient interactions, altered appetite, gastrointestinal side effects, or impaired absorption of vitamins and minerals. Polypharmacy can also affect taste, swallowing, or metabolic processes, increasing the risk of nutritional deficiencies.
D. "I am able to keep my weight steady without gaining or losing.": Stable weight over time generally suggests adequate caloric intake relative to metabolic needs. Although body composition and diet quality still require evaluation, maintaining weight does not immediately signal nutritional risk in the absence of other concerning findings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Have several small meals during the day.": Smaller, more frequent meals reduce the work of breathing required during eating, as large meals can increase diaphragmatic pressure and exacerbate dyspnea in clients with COPD. This strategy helps maintain adequate nutritional intake without causing fatigue or shortness of breath.
B. "Limit snacking between meals.": Restricting snacks may lead to insufficient caloric intake, which can worsen weight loss and muscle weakness common in COPD. Frequent small meals, including healthy snacks, are preferred to maintain energy levels and support respiratory muscle function.
C. "Eat one food at a time during meals.": While simplifying meals can help some clients, the key intervention for dyspnea management during meals is controlling meal size and frequency. Focusing on single foods does not significantly reduce the work of breathing.
D. "Consume a full-liquid diet.": A full-liquid diet is generally unnecessary unless swallowing difficulties exist. Liquids alone may not provide sufficient calories or protein for clients with increased energy expenditure due to COPD and may contribute to malnutrition.
Correct Answer is ["354"]
Explanation
Prescribed Dose: 5 mg/kg
Client Weight: 70.8 kg
- Calculate the dose in mg
Dose = 5 × 70.8
Dose = 354 mg
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