Which signs would alert the nurse to possible nutritional alterations? (Select all that apply, one, some, or all.)
Diaphoresis
Edema
Muscle atrophy
Impaired wound healing
Nail growth
Correct Answer : B,C,D
A. Diaphoresis (excessive sweating) is not typically associated with nutritional alterations but may occur with other conditions like fever or anxiety.
B. Edema can be a sign of protein deficiency or fluid imbalance, indicating a nutritional problem.
C. Muscle atrophy suggests a lack of sufficient protein or calories, a clear sign of malnutrition.
D. Impaired wound healing is often linked to nutritional deficiencies, particularly in vitamins and minerals like vitamin C and zinc.
E. Nail growth is generally not used to assess nutritional status. Although poor nutrition can impact hair and nails, changes in nail growth are not as immediately indicative of nutritional problems.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"C"}
Explanation
Blank 1
Prepare for defibrillation: The client is unresponsive and has ventricular tachycardia. This indicates a life-threatening arrhythmia. If a patient with VTach is pulseless, the treatment is defibrillation.
Blank 2
Vtach (Ventricular tachycardia): The ECG tracing shows a rapid, wide-complex tachycardia, which is the hallmark of ventricular tachycardia.
Correct Answer is A
Explanation
A. Respiratory acidosis is correct because the patient has a low pH (acidosis) and elevated PaCO₂, indicating hypoventilation as the primary cause.
B. Metabolic alkalosis is incorrect because bicarbonate is within the normal range, and there is no metabolic compensation.
C. Respiratory alkalosis is incorrect because alkalosis would present with a high pH and low PaCO₂, the opposite of this scenario.
D. Metabolic acidosis is incorrect because bicarbonate is normal, ruling out a metabolic cause.
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