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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: A social group sharing traits like location or language describes ethnicity or community, not race. Race is primarily based on physical characteristics, not geographic or linguistic ties, making this an incorrect definition.
Choice B reason: The process of acquiring norms and beliefs refers to socialization or culture, not race. Race is defined by physical traits, not learned behaviors or cultural practices, making this an incorrect description.
Choice C reason: Shared attitudes, values, and roles define culture or ethnicity, not race. Race focuses on inherited physical characteristics, like skin color or facial features, not behavioral or social patterns, making this incorrect.
Choice D reason: Race is defined as a group sharing similar physical characteristics, such as skin color, facial features, or other genetic traits. This aligns with biological and anthropological definitions, making it the correct description of race.
Correct Answer is B
Explanation
Choice A reason: The right 5th intercostal space at the sternal border is near the tricuspid valve, where murmurs from tricuspid regurgitation or stenosis are typically heard. Aortic valve stenosis murmurs, caused by turbulent flow through a narrowed aortic valve, are not prominent here, making this an incorrect assessment site.
Choice B reason: The right 2nd intercostal space at the sternal border is the aortic area, ideal for auscultating aortic valve stenosis murmurs. These murmurs are harsh, crescendo-decrescendo, and systolic, radiating to the carotid arteries due to turbulent blood flow through the stenosed aortic valve, making this the correct site.
Choice C reason: The left 5th intercostal space at the mid-clavicular line is the mitral valve area, where mitral regurgitation or stenosis murmurs are heard. Aortic valve stenosis murmurs originate from the aortic root and are not best detected here, rendering this choice incorrect.
Choice D reason: The left 2nd intercostal space at the mid-clavicular line is near the pulmonic valve, where pulmonic stenosis murmurs are auscultated. Aortic valve stenosis murmurs are not prominent in this area, as they are specific to the aortic region, making this an incorrect choice.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
