When planning nutritional interventions for a healthy 83-year-old man, the nurse recognizes what factor is most likely to affect his nutritional status?

Increased cardiac output

An increase in GI motility and absorption

Constant snacking between meals that results in obesity

Living alone on a fixed income

Answer and Explanation

The Correct Answer is D

A. Increased cardiac output: In older adults, cardiac output typically decreases, not increases, and this has a minor impact on nutritional status.
B. An increase in GI motility and absorption: GI motility and absorption generally decrease with age, not increase, which can affect nutritional status.
C. Constant snacking between meals that results in obesity: Obesity is less common in healthy older adults compared to issues related to malnutrition or economic factors.
D. Living alone on a fixed income: This can significantly impact nutritional status due to potential financial constraints affecting food availability and quality.

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Correct Answer is C

Explanation

A. Assessing the surgical site before surgery: While assessing the surgical site is important, it is not the primary purpose of skin cleaning preparation. The focus is on reducing infection risk.
B. Providing comfort for the client: Comfort may be a secondary benefit, but it is not the main goal of surgical skin cleaning. The primary purpose is to reduce infection risk.
C. Reducing the risk of post-operative wound infection: Surgical skin cleaning preparation is aimed at minimizing the number of microorganisms on the skin to reduce the risk of postoperative wound infections. This is the key reason for preoperative skin preparation.
D. Sterilizing the skin for easier scalpel cutting: Skin cannot be completely sterilized, and the ease of scalpel cutting is not related to the cleanliness of the skin. The goal is infection control, not making the skin easier to cut.

A. Assess airway patency B. Check the dressing to assess bleeding. C. Check tubes or drains for patency. D. Assess all vital signs.

Correct Answer is A

Explanation

A. Assess airway patency: Ensuring the airway is patent is the highest priority because compromised airway patency can lead to life-threatening respiratory complications. This is the first step in the ABCs (Airway, Breathing, Circulation) of emergency and postoperative care.
B. Check the dressing to assess bleeding: While assessing the dressing for bleeding is important, it is secondary to ensuring the client has a patent airway. Uncontrolled bleeding can be addressed after confirming the client can breathe adequately.
C. Check tubes or drains for patency: Checking tubes and drains for patency is also important, but it should be done after ensuring the client's airway is secure. This step is essential for preventing complications but is not as immediately critical as airway assessment.
D. Assess all vital signs: Assessing vital signs is crucial, but it follows after ensuring airway patency. Vital signs provide comprehensive information about the client's status, but an obstructed airway must be addressed first to ensure effective breathing and oxygenation.

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When planning nutritional interventions for a healthy 83-year-old man, the nurse recognizes what factor is most likely to affect his nutritional status?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing the skin of a client scheduled for cardiac surgery. What is the purpose of surgical skin cleaning preparation?

Correct Answer is C

Explanation

A client is being transferred to the medical-surgical unit from the PACU after receiving general anesthesia for a procedure. Which of the following actions is the priority for the nurse when the client arrives on the unit?

Correct Answer is A

Explanation

An unresponsive client was brought to the emergency room and had an arterial blood gas drawn. Ten minutes later, the laboratory calls with the following results: PaO2 74%, pH 7.22, PaCO2 85 mm Hg, and HCO3 23 mEq/L. The nurse interprets the results as indicating which imbalance?

Which menu choice indicates that a client understands their nurse's teaching about the best dietary sources of iron?

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Which assessment data indicate the postoperative client who had spinal anesthesia is suffering a complication of the anesthesia?

The nurse is reviewing serum laboratory values for a client who is scheduled for surgery tomorrow. Which value requires the nurse to promptly notify the surgeon?

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