The nurse recognizes which of these persons is at greatest risk for undernutrition?
a. 5-month-old infant
b. 50-year-old woman
c. 20-year-old college student
d. 30-year-old hospital administrator
ANS: A
Vulnerable groups for undernutrition are infants, children, pregnant women, recent immigrants, persons with low incomes, hospitalized people, and aging adults.
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The nurse educator is teaching a group of nursing students how to perform an assessment of the client's peripheral vascular system. Which student statements indicate an appropriate understanding of the peripheral vascular assessment? Select all that apply
1. "I need to take a blood pressure only in the client's right arm." 2. "The best way to assess the carotid pulses is palpate one side and then the other." 3. "It will be easier to assess the client's carotid pulses if the client is obese." 4. "I should inspect the arms to ensure that they are close to the same size." 5. "I should look at the extremities to ensure that hair distribution is normal and symmetrical. The skin should be clean and free of any lesions."
The nurse evaluates how an older adult patient will react to the death of a spouse based on how the patient
a. expresses concern for his spouse during a prolonged illness. b. reacts when their beloved dog was sent to live with an adult child. c. demonstrates his or her philosophy of health and happiness. d. expresses how his spouse's illness has impacted their life together.
Which clinical finding indicates the nurse should hold the dose of methotrexate (MTX)?
A. Ulcerative stomatitis B. Elevated serum uric acid level C. Deep vein thrombosis D. Elevated white blood cell count
How do surfactant proteins A through D provide innate resistance?
a. Initiate the complement cascade. b. Promote phagocytosis. c. Secrete mucus. d. Synthesize lysosomes.