The nurse is performing a nutritional assessment on a client who is a professional dancer. Which issue reported by the client should alert the nurse to perform further assessment?

Bunions.

Sweaty palms.

Fatigue.

Dry skin.

Answer and Explanation

The Correct Answer is C

A.   Bunions. While bunions can be uncomfortable and affect mobility, they are not directly related to nutritional status and may not require immediate nutritional assessment.
B.   Sweaty palms. Sweaty palms can be a normal physiological response or related to factors such as anxiety or hyperhidrosis. It is not typically indicative of a nutritional issue.
C.   Fatigue. Fatigue can be a symptom of various nutritional deficiencies or imbalances, including inadequate calorie intake, insufficient carbohydrate intake, or deficiencies in vitamins and
minerals such as iron or B vitamins. Further assessment is needed to determine the cause of the fatigue and whether it is related to the client's nutritional status.
D.   Dry skin. Dry skin can also be a symptom of various issues, including dehydration, environmental factors, or skin conditions. While it can sometimes be associated with nutritional deficiencies, fatigue is a more concerning symptom in a professional dancer, as it can significantly affect performance and may indicate underlying nutritional issues.

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Correct Answer is A,D,B,C

Explanation

A. Clear liquid. Clear liquids are the first step in advancing the diet after a period of nothing by mouth (NPO). They are easy to digest and help prevent dehydration.
D. Full liquid. Full liquids are the next step after clear liquids and include liquids and foods that are smooth and easily poured or formed into a liquid at room or body temperature. Examples
include milk, yogurt, and cream-based soups.

B. Pureed. Pureed foods are soft and smooth, requiring minimal chewing. They are often recommended for individuals who have difficulty swallowing or have undergone oral or facial surgery.
C. Mechanical soft. Mechanical soft foods are semi-solid and easily mashed or broken down with a fork. They are suitable for individuals with difficulty chewing or swallowing but can tolerate more texture than pureed foods.

A. Advise the PN that waist circumference measurements are valuable to assess fluid retention but not obesity. B. Tell the PN that this assessment technique should be performed by the nurse. C. Review the measurement obtained by the PN and compare with ideal measurements for this client. D. Instruct the PN to measure the client's waist circumference every 8 hours to assess for changes.

Correct Answer is C

Explanation

A. Advise the PN that waist circumference measurements are valuable to assess fluid retention but not obesity. This statement is incorrect. Waist circumference is a valuable measure for assessing abdominal obesity and related health risks.

B. Tell the PN that this assessment technique should be performed by the nurse. Measuring waist circumference is within the scope of practice for a practical nurse and does not need to be performed by a registered nurse.
C. Review the measurement obtained by the PN and compare with ideal measurements for this client. This action ensures that the measurement is accurate and provides an opportunity to educate the client about the significance of waist circumference in relation to obesity and associated health risks.
D. Instruct the PN to measure the client's waist circumference every 8 hours to assess for changes. Waist circumference does not change significantly over such a short period and does not need to be measured this frequently.

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The nurse is performing a nutritional assessment on a client who is a professional dancer. Which issue reported by the client should alert the nurse to perform further assessment?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who has been NPO has a new prescription to progress the diet as tolerated. In which sequence should the nurse progress the client's diet? (Arrange from first action on top to last on the bottom.)

Correct Answer is A,D,B,C

Explanation

The charge nurse observes a practical nurse (PN) measuring the waist circumference of a client who has expressed a concern about health problems related to obesity. Which action should the nurse implement?

Correct Answer is C

Explanation

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