A client is receiving an intradermal injection to evaluate general immunity during a nutritional assessment. Which of the following would the nurse need to keep in mind about malnutrition if the client has no reaction?
A) It indicates high cholesterol and triglyceride levels.
B) It shows a sacrifice of skeletal muscle proteins and blood proteins.
C) It assesses unhealthy dietary habits.
D) It indicates immunosuppression resulting from undernourishment.
D
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After teaching the client about the thallium scan he is to undergo tomorrow, the nurse determines the client understood when he tells his wife the purpose of the test is to detect:
1. Abnormalities in cardiac structure. 2. Any flaws in the pulmonary circulation. 3. Areas of the heart not getting adequate oxygenation. 4. Abnormalities in electrical conduction in the heart.
A nurse assesses an older adult client who was admitted 2 days ago with a fractured hip. The nurse notes that the client is confused and restless. The client's vital signs are heart rate 98 beats/min, respiratory rate 32 breaths/min, blood pressure 132/78
mm Hg, and SpO2 88%. Which action should the nurse take first? a. Administer oxygen via nasal cannula. b. Re-position to a high-Fowler's position. c. Increase the intravenous flow rate. d. Assess response to pain medications.
On a cool day, a patient complains of tachycardia, diaphoresis, and being warm. The patient has no known health problems. The health care provider will assess the patient for which conditions? (Select all that apply.)
a. Diabetes b. Thyroid disease c. Posterior pituitary hormone deficiency d. Hypertension e. Pregnancy
Which statement concerning the pathophysiology of multiple sclerosis (MS) is true?
A. Poor cellular repair mechanisms support the proliferation of dysfunctional neu-rons. B. The autoimmune response causes damage to unmyelinated nerve fibers. C. Degeneration of axonal bodies interferes with signal transmission. D. Damage to the myelin sheath causes an inflammatory response.