A patient is at the clinic on his first visit and reports no history of nutrition-related problems. Which of the following should the initial nutritional screening include?

Anthropometric measures

Calorie count of nutrients

Measurement of weight and weight history

Complete physical examination

Answer and Explanation

The Correct Answer is C

A. Anthropometric measures: These are useful for ongoing monitoring of nutritional status e.g., skinfold thickness, arm circumference but are not the first step in an initial screening for a patient without prior nutrition problems.

B. Calorie count of nutrients: A detailed calorie and nutrient count is more advanced and usually reserved for patients with identified risks or specific dietary concerns.

C. Measurement of weight and weight history: Initial nutritional screening focuses on simple but informative data, such as current weight, weight history, and recent weight changes, which are strong indicators of nutritional risk.

D. Complete physical examination: A full physical exam is beyond the scope of initial nutrition screening and is not necessary unless risk factors or abnormalities are detected.

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Correct Answer is B

Explanation

A. Pulled in at the base of the cone of light: Retraction of the tympanic membrane, where it appears pulled inward, often indicates eustachian tube dysfunction or negative middle ear pressure. This is not considered a normal finding during ear examination.

B. Pearly grey and slightly concave: A normal tympanic membrane is pearly gray in color, translucent, and positioned slightly concave with the cone of light visible. This appearance indicates a healthy ear with no evidence of infection or fluid buildup.

C. Light pink with a slight bulge: A tympanic membrane that appears pink and bulging is usually associated with otitis media or fluid accumulation. This finding suggests infection or inflammation, not a normal ear examination result.

D. Whitish, with a small fleck of light in the superior portion: A whitish tympanic membrane often indicates scarring or tympanosclerosis, which results from repeated infections or trauma. This would not be considered a normal finding in an otherwise healthy ear.

A. "Did your mother have significant nausea and vomiting?" B. "Many women experience nausea and vomiting until the third trimester." C. "At about the time you begin to feel the baby move, the nausea and vomiting will subside." D. "Usually, by the beginning of the second trimester, the nausea and vomiting improve."

Correct Answer is D

Explanation

A. "Did your mother have significant nausea and vomiting?": Asking about the mother’s pregnancy history does not provide an answer to the client’s concern and does not address the expected course of symptoms.

B. "Many women experience nausea and vomiting until the third trimester.": Nausea and vomiting rarely persist into the third trimester. Suggesting this may cause unnecessary anxiety, as the majority of women experience improvement before this stage of pregnancy.

C. "At about the time you begin to feel the baby move, the nausea and vomiting will subside.": Quickening, or the first perception of fetal movement, usually occurs between 16 and 20 weeks. Although nausea may already have subsided by this point, using this as a marker is not accurate for explaining the expected improvement of symptoms.

D. "Usually, by the beginning of the second trimester, the nausea and vomiting improve.": Nausea and vomiting, often called morning sickness, typically begin around 4–6 weeks and resolve by 12–14 weeks of gestation. This corresponds to the start of the second trimester.

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A patient is at the clinic on his first visit and reports no history of nutrition-related problems. Which of the following should the initial nutritional screening include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When examining the ear with an otoscope, the nurse would expect to find that the tympanic membrane is:

Correct Answer is B

Explanation

A patient who is in her first trimester of pregnancy tells the nurse that she is experiencing significant nausea and vomiting, and asks when it will improve. The nurse should reply:

Correct Answer is D

Explanation

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