Which nutritional data obtained from a client needs MOST validation by a nurse?

"I do not eat salty foods and snacks

"My rings are not fitting on my fingers like they usually do"

"I exercise about 20 minutes a day by walking"

"High blood pressure is present in my mother & grandmother"

Answer and Explanation

The Correct Answer is B

A) "I do not eat salty foods and snacks": This statement indicates the client's dietary habits and, while it can impact overall health, it does not necessarily require immediate validation unless there is reason to doubt its accuracy or it is related to a specific health concern being addressed.

B) "My rings are not fitting on my fingers like they usually do": This statement suggests a change in the client's physical condition, likely indicating fluid retention or edema. This symptom requires validation as it could signify an underlying issue such as heart failure, kidney problems, or other medical conditions that need prompt attention.

C) "I exercise about 20 minutes a day by walking": This statement reflects the client's physical activity routine. While it's important for assessing overall health and fitness, it does not demand immediate validation unless related to a specific health issue.

D) "High blood pressure is present in my mother & grandmother": This statement provides valuable family history information, which is important for assessing genetic risk factors. However, it does not require urgent validation compared to physical changes indicating potential health problems.

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Correct Answer is A

Explanation

A) Concussions in sports and motor vehicle accidents cause the largest number of TBIs in teens: Adolescents are particularly susceptible to TBIs due to their frequent involvement in contact sports like football, soccer, and hockey, as well as risky behaviors associated with driving. These activities are leading causes of TBIs in this age group, making education on safety measures and proper use of protective equipment essential in prevention efforts.

B) Females have twice the risk that males do: This statement is incorrect. In reality, males are more likely to sustain TBIs than females, especially in adolescence. The higher risk in males is largely due to their greater participation in high-impact sports and higher likelihood of being involved in motor vehicle accidents.

C) Falls occur more frequently in the younger population: Although falls are a significant cause of TBIs in young children and older adults, they are not the primary cause in adolescents. Teens are more likely to sustain TBIs from sports injuries and car accidents, making these areas more relevant for preventive education.

D) Most firearm incidents are accidental: While firearm-related TBIs can occur, they are not as common in the adolescent population compared to injuries from sports and motor vehicle accidents. Prevention efforts should focus more on the activities that pose the highest risk for this age group.

A. Dehydration B. Hypervolemia C. Properly Hydrated D. Infection

Correct Answer is A

Explanation

A) Dehydration:

When the skin remains tented and returns to its normal position slowly after being pinched, it indicates decreased skin turgor, which is a clinical sign of dehydration. Dehydration can occur due to fluid loss from sweating during vigorous physical activity like a beach tournament.

B) Hypervolemia:

Hypervolemia refers to excess fluid volume in the body, which would typically manifest with signs such as peripheral edema or jugular vein distention rather than decreased skin turgor.

C) Properly Hydrated:

Properly hydrated individuals would have normal skin turgor, where the skin returns promptly to its normal position after being pinched.

D) Infection:

Skin tenting is not a specific sign of infection. Infection would typically present with localized signs such as redness, warmth, swelling, and possibly systemic signs like fever.

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Which nutritional data obtained from a client needs MOST validation by a nurse?

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Naxlex Comprehensive Predictor Exams

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Explanation

During your physical examination of a 29-year-old professional volley ball player who recently completed a beach tournament, you gently pinch the skin on the chest area. The skin remains in a "tent" shape and slowly returns to its normal position. This is a sign of

Correct Answer is A

Explanation

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