A nursing student correctly describes a risk diagnosis by which of the following statements?

A problem that the client is currently experiencing.

A situation in which a problem will likely occur if the nurse does not intervene.

Those situations in which the client does not have a problem but is at a point in which he or she can attain a higher level of health.

Clinical judgments that describe a specific cluster of nursing diagnoses that occur together and have similar interventions.

Answer and Explanation

The Correct Answer is B

A. This is incorrect because it describes an actual nursing diagnosis, not a risk diagnosis.
B. A risk diagnosis describes a situation in which a problem will likely occur if the nurse does not intervene. It identifies a potential health problem that has not yet developed but could occur due to the client’s risk factors.
C. This is incorrect because it describes a health promotion diagnosis, which focuses on enhancing well-being rather than preventing a problem.
D. This is incorrect because it describes a syndrome diagnosis, which is a group of related nursing diagnoses that occur together.

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Correct Answer is C

Explanation

A. Documenting bradycardia is incorrect because the client is experiencing tachycardia (HR 108), not bradycardia.
B. Applying oxygen at 2L/min is incorrect because the oxygen saturation is normal (96% on room air). Oxygen therapy is not indicated at this time.
C. Reassess the vital signs in five minutes is correct because the slightly elevated heart rate and respiratory rate may be due to recent physical activity after prolonged bedrest. It is important to allow the client time to recover and reassess before taking further action.
D. Notifying the provider is incorrect because there is no immediate concern; the elevated HR and RR are expected post-activity.

A. Thinning of the vertebral discs leads to weight loss. B. An increase in lean body mass leads to weight gain. C. Spinal kyphosis contributes to the increase in body weight. D. Loss of muscle tissue contributes to the decrease in weight.

Correct Answer is D

Explanation

A. Thinning of the vertebral discs leads to a decrease in height, not weight.
B. Lean body mass actually decreases with aging, contributing to weight loss rather than gain.
C. Spinal kyphosis affects posture but does not significantly contribute to changes in body weight.
D. Loss of muscle tissue (sarcopenia) is correct because aging leads to a decline in muscle mass, which contributes to weight loss. Additionally, a slower metabolism and reduced physical activity further affect body composition.

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A nursing student correctly describes a risk diagnosis by which of the following statements?

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

After teaching a group of students about changes in body weight due to aging, the instructor determines that the students have understood the teaching when they state which of the following?

Correct Answer is D

Explanation

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