The nurse is preparing to perform a nutritional assessment of a newly admitted client. What question would be most appropriate for the nurse to ask when initiating the assessment?
"Are there any foods that you cannot eat?"
"What have you eaten in the last 24 hours?"
"Are any members of your family obese?"
"How many meals do you eat each day?"
The Correct Answer is B
Choice A reason: Food restrictions identify allergies or preferences, but not intake patterns. This limits nutritional status insight, missing recent consumption data critical for assessing current health, making it less foundational for this initial evaluation fully here.
Choice B reason: A 24-hour recall details recent intake, offering a snapshot of diet quality and quantity. This directly informs nutritional status, habits, and deficits, making it the most appropriate starting question for a comprehensive assessment accurately here.
Choice C reason: Family obesity history suggests genetic risk, not the client’s nutrition. This indirect data lacks specificity on current intake, rendering it less useful than a direct dietary recall for this nutritional assessment entirely and fully here.
Choice D reason: Meal frequency provides structure, not content or quality. It’s less informative than a 24-hour recall, which captures specifics of what’s eaten, making it secondary for initiating a detailed nutritional evaluation comprehensively here fully.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Food restrictions identify allergies or preferences, but not intake patterns. This limits nutritional status insight, missing recent consumption data critical for assessing current health, making it less foundational for this initial evaluation fully here.
Choice B reason: A 24-hour recall details recent intake, offering a snapshot of diet quality and quantity. This directly informs nutritional status, habits, and deficits, making it the most appropriate starting question for a comprehensive assessment accurately here.
Choice C reason: Family obesity history suggests genetic risk, not the client’s nutrition. This indirect data lacks specificity on current intake, rendering it less useful than a direct dietary recall for this nutritional assessment entirely and fully here.
Choice D reason: Meal frequency provides structure, not content or quality. It’s less informative than a 24-hour recall, which captures specifics of what’s eaten, making it secondary for initiating a detailed nutritional evaluation comprehensively here fully.
Correct Answer is B
Explanation
Choice A reason: Cranial nerve VIII (vestibulocochlear) governs hearing and balance, not tongue strength. A deficit here causes vertigo or deafness, not motor weakness in the tongue, making it unrelated to the observed decrease in muscle power during examination.
Choice B reason: Cranial nerve XII (hypoglossal) controls tongue movement and strength. Weakness here, as noted, suggests nerve damage, like in stroke or ALS, impairing the tongue’s ability to push against resistance, directly explaining the finding accurately.
Choice C reason: Cranial nerve VI (abducens) moves the eye laterally, not the tongue. A problem here causes diplopia, not tongue weakness, disconnecting it from the motor function loss observed in the client’s oral examination entirely here.
Choice D reason: Cranial nerve III (oculomotor) controls eye movement and pupil response, not tongue strength. Its dysfunction leads to ptosis or eye deviation, irrelevant to the tongue’s motor impairment noted in this neurological assessment fully.
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