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 ["G"]
Explanation
A. History of type 2 diabetes is not a rhythm characteristic seen on an ECG. While diabetes can contribute to the development of cardiovascular issues, it does not specifically describe the characteristics of a third-degree AV block on an ECG.
B. Interval and RR interval are irregular is incorrect. In third-degree AV block (also known as complete heart block), the atrial rate and ventricular rate are typically regular, but the atrial and ventricular rhythms are completely dissociated.
C. Shortened PR interval is incorrect. In third-degree AV block, there is no consistent PR interval because the atria and ventricles are functioning independently.
D. Inconsistently shaped P waves is incorrect. P waves may appear normal, but the relationship between P waves and QRS complexes is lost in third-degree AV block.
E. PR interval is constant is incorrect. In third-degree AV block, the PR interval is inconsistent or absent, as the atrial and ventricular rates are independent of each other.
F. Apical heart rate is irrelevant here. The ECG will show the characteristic findings of third-degree AV block rather than focusing on apical heart rate alone.
G. Fewer QRS complexes than P waves is correct. In third-degree AV block, the atrial impulses (P waves) are conducted normally, but the ventricles are completely dissociated from the atrial rhythm, leading to fewer QRS complexes than P waves, as the ventricles may be paced by an escape rhythm.
H. PP interval is equal to RR interval is not necessarily true in third-degree AV block. The PP and RR intervals may be different depending on the escape rhythm, but they are not usually exactly equal.
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.
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