On admission, a patient weighs 250 pounds. The weight is recorded as 256 pounds on the second inpatient day. Which condition will the nurse assess for in this patient?
Fluid retention
Increased nutritional intake
Anorexia
Weight loss
The Correct Answer is A
a) Fluid retention: A weight increase of 6 pounds in 1 day is significant and may indicate fluid retention, which is commonly seen in conditions like heart failure or kidney disease.
b) Increased nutritional intake: A 6-pound weight gain is unlikely to be due to nutritional intake alone, especially over just a two-day period. This would more likely be seen over a longer timeframe.
c) Anorexia: Anorexia is associated with weight loss, not weight gain.
d) Weight loss: The patient has gained weight, not lost it.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a) Nothing by mouth: NPO stands for "Nil Per Os" in Latin, which means "nothing by mouth." This includes all food and fluids, and the patient would receive nutrition through other means such as enteral feedings.
b) Nocturnal feedings only: NPO refers to not taking anything by mouth at all, not just during certain times.
c) Administer by mouth: This would contradict the NPO order, which specifies that nothing should be taken orally.
d) Aspirate gastric contents: This is a procedure used for other purposes (like verifying placement of a tube), but it does not define what "NPO" means.
Correct Answer is D
Explanation
a) Vitamins, minerals, and water carbohydrates, protein, and lipids: While vitamins, minerals, and water are essential nutrients, they do not provide energy. The correct sources of energy are carbohydrates, proteins, and lipids.
b) Lipids, vitamins, and minerals: Lipids provide energy, but vitamins and minerals do not.
c) Carbohydrates, protein, and water: Water does not provide energy, although carbohydrates and proteins do.
d) Carbohydrates, protein, and lipids: Carbohydrates, proteins, and lipids are the three macronutrients that provide energy to the body. These nutrients are broken down to release energy (calories) for bodily functions.
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