What is one of the first assessments that a nurse should include when performing an initial nutritional screening on a new patient?

Complete physical examination

Height and weight history

Calorie count of nutrients

Leg circumference

Answer and Explanation

The Correct Answer is B

Choice A reason: A complete physical exam is comprehensive but not specific to initial nutritional screening. Height and weight history provide BMI, a quick nutritional indicator, so this is not the first assessment.

Choice B reason: Height and weight history are critical for initial nutritional screening, enabling BMI calculation to assess undernutrition or obesity. This is a standard, quick method, making it the correct first step.

Choice C reason: Calorie counting is detailed and time-consuming, unsuitable for initial screening. Height and weight offer a rapid baseline for nutritional status, so this is incorrect for the first step.

Choice D reason: Leg circumference may assess muscle mass but is not standard for initial nutritional screening. Height and weight are primary for BMI, so this is incorrect for the initial assessment.

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Correct Answer is C

Explanation

Choice A reason: Genital self-examination begins with inspection to observe abnormalities like swelling or lesions, followed by palpation to assess texture or masses. Starting with palpation may miss visual cues, making this sequence incorrect for effective self-examination.

Choice B reason: Testicular self-examination should be performed monthly, not yearly, to detect early changes like lumps, which could indicate testicular cancer. Annual exams are insufficient for timely detection, making this frequency incorrect for the teaching plan.

Choice C reason: Performing testicular self-examination while bathing is ideal, as warm water relaxes the scrotum, making it easier to palpate for abnormalities. This enhances detection of masses or irregularities, making it a key instruction for effective self-examination.

Choice D reason: Testicular self-examination is recommended for all adult males, not just those with prior cryptorchidism, which increases cancer risk. Restricting it to this group excludes others who could benefit from early detection, making this an incorrect limitation.

A. Wear gloves during any and all contact with patients. B. Wash hands before and after contact with each patient. C. Clean the stethoscope with an alcohol swab between patients. D. Wear protective eyewear at all times.

Correct Answer is B

Explanation

Choice A reason: Gloves reduce transmission but are not sufficient alone; improper use can spread microbes. Hand washing before and after patient contact is the most effective, universal method, so this is incorrect.

Choice B reason: Hand washing before and after patient contact is the most critical step to prevent microorganism transmission, as it removes pathogens from hands, the primary vector. This is the gold standard, making it correct.

Choice C reason: Cleaning the stethoscope is important but secondary to hand washing, which addresses the most common transmission route. Hands contact patients directly, so this is incorrect as the most important step.

Choice D reason: Protective eyewear prevents specific exposures but doesn’t address general microbial spread. Hand washing is the most effective, routine prevention method, so this is incorrect for the primary step.

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What is one of the first assessments that a nurse should include when performing an initial nutritional screening on a new patient?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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Correct Answer is B

Explanation

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