The nurse has formulated a nursing diagnosis of Imbalanced Nutrition: Less Than Body Requirements for a client diagnosed with acute leukemia. What is the expected outcome of nursing care?
Ability to consume nutritional foods and or supplements without nausea or vomiting
Consume adequate nourishment to promote weight within a normal range
Consume a diet high in protein and low carbohydrate content
Demonstrate a two pound weight gain with the use of liquid supplements
The Correct Answer is B
A. Ability to consume nutritional foods and/or supplements without nausea or vomiting: This is a specific symptom management outcome, not an overall expected outcome related to balanced nutrition. The goal is ensuring adequate nourishment and weight maintenance.
B. Consume adequate nourishment to promote weight within a normal range: The primary objective for a client with Imbalanced Nutrition: Less Than Body Requirements is to ensure they consume enough nutrition to maintain or return to a normal weight range. This addresses the root issue of malnutrition, helping to restore nutritional balance.
C. Consume a diet high in protein and low carbohydrate content: Although high-protein diets may be recommended for some individuals, focusing on a balanced diet is more appropriate. The priority is overall nutritional balance, not just macronutrient restriction.
D. Demonstrate a two-pound weight gain with the use of liquid supplements: A two-pound weight gain is a specific short-term goal, but weight gain alone is not the ideal outcome. The broader goal is to promote overall nutritional status and achieve a normal weight range.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","F"]
Explanation
A. Weight gain: Weight gain is not typically associated with brain tumors. Symptoms like headaches, nausea, and neurological deficits are more common. Weight loss might occur in certain cases due to metabolic changes but not weight gain.
B. Visual changes: Visual changes, such as blurred vision or double vision, are common symptoms of a brain tumor, especially if the tumor is affecting the optic nerves or areas of the brain related to vision processing.
C. Personality changes: Personality changes, including irritability, mood swings, or altered behavior, can result from a brain tumor, particularly if the tumor is located in areas that affect cognitive function and emotions, like the frontal lobe.
D. Loss of balance: Loss of balance or coordination is a common symptom of a brain tumor. Tumors in areas like the cerebellum or brainstem can directly affect motor control and balance.
E. Chest pain: Chest pain is primarily a symptom of cardiac or pulmonary issues and is not a direct or common clinical manifestation of a brain tumor. Brain tumors do not typically affect the chest directly to cause pain.
F. Morning headache: Morning headaches are a classic symptom of brain tumors. They may be associated with increased intracranial pressure, which tends to be worse after lying down and improves with standing or sitting.
Correct Answer is A
Explanation
A. Periodontal disease and gum surgery three months ago: Bacteria from the mouth can enter the bloodstream, especially during dental procedures or gum surgery, and potentially infect heart valves, particularly in those with underlying heart conditions.
B. Breast cancer treated with chemotherapy and radiation: While chemotherapy and radiation can compromise the immune system, they are not direct risk factors for infectious endocarditis. The condition is more related to bacterial entry into the bloodstream.
C. Type I diabetic for ten years: Diabetes increases the risk of infections in general due to impaired immune function, but it is not specifically associated with an increased risk for infectious endocarditis.
D. Myocardial infarction one year ago: A MI can cause heart damage, but it is not a direct risk factor for infectious endocarditis. The condition is more commonly associated with valvular disease, congenital heart defects, or the introduction of bacteria into the bloodstream.
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