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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Chlordiazepoxide is a benzodiazepine used for alcohol withdrawal, but folic acid is not commonly used for managing withdrawal symptoms.
B. Promethazine is an antiemetic, and thiamine is given to prevent Wernicke's encephalopathy, but they are not primarily used to manage withdrawal symptoms.
C. Chlordiazepoxide and lorazepam are both benzodiazepines that are commonly used to manage alcohol withdrawal symptoms by calming the nervous system and preventing seizures or delirium tremens.
D. Lorazepam is appropriate, but promethazine is not typically used to treat alcohol withdrawal symptoms.

A. Protein and calcium B. Protein and sodium C. Fat and magnesium D. Carbohydrate and potassium

Correct Answer is B

Explanation

A. Protein may be restricted in cases of liver failure to prevent ammonia buildup, but calcium isn't typically restricted in liver failure.
B. In acute liver failure and encephalopathy, protein may be restricted to minimize ammonia production, and sodium may be restricted to manage fluid retention and prevent further complications.
C. Fat and magnesium are not typically restricted in this condition.
D. Carbohydrate and potassium are not primary dietary restrictions for acute liver failure.

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Which signs would alert the nurse to possible nutritional alterations? (Select all that apply, one, some, or all.)

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Explanation

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