The nurse is assessing a 76-year-old client who has presented with an unintended weight loss of 10 lb over the past 8 weeks.

During the assessment, the nurse learns that the client has ill-fitting dentures and a limited intake of high-fiber foods.

What other health problem is the client at risk to develop?

Infection.

Deficient fluid volume.

Excessive intake of convenience foods.

Constipation.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Infection is not directly related to weight loss, ill-fitting dentures, or limited fiber intake. The primary risks are more connected to gastrointestinal function rather than infections. While malnutrition can affect immune response, infection risk isn’t the primary concern here.

Choice B rationale

Deficient fluid volume is not a direct consequence of weight loss or dietary habits related to ill-fitting dentures. While fluid intake should be monitored, it is not the most immediate risk associated with these symptoms.

Choice C rationale

Excessive intake of convenience foods might contribute to poor nutritional status and unintended weight loss, but it is not the primary risk. The client's condition more directly influences gastrointestinal health rather than dietary habits.

Choice D rationale

Constipation is a significant risk due to limited intake of high-fiber foods. Fiber is crucial for promoting bowel movements and preventing constipation. Weight loss and ill-fitting dentures may further reduce the client's dietary fiber intake, increasing the likelihood of constipation

Nursing Test Bank

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Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale

A pustule is an elevated, round lesion filled with pus, not serum. Pustules are commonly seen in acne or infections.

Choice B rationale

A macule is a flat, discolored area of the skin that is not elevated. Macules do not contain fluid and are often seen in conditions like freckles or flat moles.

Choice C rationale

A vesicle is an elevated, round lesion filled with clear serum. Vesicles can result from conditions such as chickenpox, herpes simplex, or dermatitis.

Choice D rationale

A cyst is an elevated, round lesion filled with semi-solid material or fluid. Cysts are typically deeper in the skin compared to vesicles.

A. Lamellae. B. Osteoblasts. C. Osteocytes. D. Osteoclasts. E. Osteoclasts.

Correct Answer is B

Explanation

Choice A rationale

Lamellae are layers of bone tissue arranged in concentric circles in compact bone, not cells responsible for bone matrix secretion.

Choice B rationale

Osteoblasts are the cells responsible for the secretion of bone matrix. They produce collagen and other substances necessary for bone formation and growth.

Choice C rationale

Osteocytes are mature bone cells derived from osteoblasts. They maintain bone tissue but do not secrete bone matrix.

Choice D rationale

Osteoclasts are cells involved in the resorption of bone tissue, not the secretion of bone matrix. They break down bone tissue during growth and repair.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During the skin assessment of a client, the nurse observes a skin lesion that is elevated, round, and filled with serum. Identify the type of lesion.

Correct Answer is C

Explanation

A child is growing at a rate appropriate for their age. What cells are responsible for the secretion of bone matrix that eventually results in bone growth?

Correct Answer is B

Explanation

The nurse is assessing the pupils of a client who has had a head injury. What does the nurse recognize as a parasympathetic effect?

A nurse is performing a neurologic assessment on the client and notes a positive Romberg test. This test for balance is related to which of the following cranial nerves?

A client who has just been diagnosed with mixed muscular dystrophy asks the nurse about the usual course of this disease. How should the nurse respond?

When performing a postoperative assessment on a client who has undergone surgery to manage increased intracranial pressure (ICP), a nurse notes an ICP reading of 0 mm Hg. Which action should the nurse perform first?

Which occurs when reflexes are hyperactive when the foot is abruptly dorsiflexed?

A client who has sustained a head injury cannot identify a familiar object. The nurse knows that this deficit is called which of the following?

A nurse is performing a neurological assessment on a client at home. During the assessment, the nurse notices that the client has a flat affect. Which lobe of the brain is responsible for a person's affect?

A nurse is assessing a client with impetigo. The nurse would most likely observe which of the following?