The nurse collects data on clients who have visited a health fair in the mall. Which client would benefit the most from a detailed nutritional assessment?
1. A 21-year-old female who has just begun college and has lost 5 pounds in the first semester.
2. A 2-year-old whose mother stated that he seems to be growing faster than she can buy him clothes.
3. A 50-year-old male who reported that he lost 10 pounds in 6 weeks without even trying.
4. A 35-year-old female who has gained 15 pounds in a year after the birth of her first child.
Correct Answer: 3
Unintentional weight loss is considered clinically significant and requires further assessment. The cause is not readily apparent and may be due to a disease process. The female that just began college has had activity and nutrition changes. The 2-year-old seems to be growing sufficiently and the 35-year-old female has had recent body changes.
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Postoperative nursing care of the infant following surgical repair of a cleft lip would include:
a. Feeding the infant with a spoon to avoid sucking b. Positioning the infant on the abdomen to facilitate drainage c. Applying elbow restraints to protect the surgical area d. Providing minimal stimulation to prevent injury to the incision
When the mother of a 3-year-old expresses concern about her daughter's slowed growth rate, the nurse's most informative response would be:
a. "Three-year-olds have finished a growth spurt and now their coordination can catch up." b. "Children's growth is hereditary. She may be of small stature like you." c. "The growth of a 3-year-old is associated with their nutrition. How is she eating?" d. "Your daughter is healthy and happy. Don't worry about her growth right now."
What is career planning?
A) The organization's responsibility B) Requires spontaneous assessment of goals C) Made easier when a career map is used to develop a long-term plan D) Should be episodic in nature
In an interview with the nurse, a mother states that she is concerned that her 14-year-old teen is critical and finding fault with her. The nurse counsels the mother that:
a. the family needs to change its value system to meet the teenager's changing needs. b. the parent–teen relationship is important for the teenager and conflicts are to be expected. c. teenagers create psychological distance from the parent to separate from the parent. d. parents need to relinquish their relationship with their teenager to the teen's peers.