For the first time, the nurse is seeing a patient who has no history of nutrition-related problems. The initial nutritional screening should include which activity?

a. Calorie count of nutrients
b. Anthropometric measures
c. Complete physical examination
d. Measurement of weight and weight history


ANS: D
Parameters used for nutrition screening typically include weight and weight history, conditions associated with increased nutritional risk, diet information, and routine laboratory data. The other responses reflect a more in-depth assessment rather than a screening.

Nursing

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A 79-year-old woman with a complex medical history has recently moved to a long-term care facility. The nurse reads in the woman's documentation that she has a history of atrial fibrillation and hypertension

The nurse should presume that this patient will likely be taking which of the following medications? A) Warfarin (Coumadin) B) Furosemide (Lasix) C) Levothyroxine (Synthroid) D) Calcium carbonate

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A nurse is caring for a client in a healthcare facility. When should the nurse implement Transmission-Based Precautions?

A) When caring for clients with insect-borne diseases B) When caring for clients with hematologic diseases C) When caring for client with life-threatening diseases D) When caring for clients with known or suspected infectious diseases

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A patient with catatonic schizophrenia exhibits little spontaneous movement and demonstrates waxy flexibility. Which patient needs are of priority importance?

a. Psychosocial b. Physiologic c. Self-actualization d. Safety and security

Nursing

A client begins frankly discussing his harrowing history of abuse as a child. The nurse listens for some time and then changes the subject to address stress management techniques. What is the most likely motivation for the nurse's action?

A) To make sure she understands other problem areas in the client's life B) To model social skills and communication skills for the client C) To help the client understand appropriate boundaries D) To reduce her own level of anxiety

Nursing