A school nurse is teaching a 14-year-old girl of normal weight some of the key factors necessary to maintain good nutrition in this stage of her growth and development. What interventions should the t nurse most likely prioritize? r A

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Question 1 of 5

A school nurse is teaching a 14-year-old girl of normal weight some of the key factors necessary to maintain good nutrition in this stage of her growth and development. What interventions should the t nurse most likely prioritize? r A

Correct Answer: C

Rationale: The correct answer is C because at the age of 14, a girl of normal weight should focus on increasing calcium intake for bone development, eating a balanced diet for overall health, and discussing eating disorders for awareness and prevention. This is crucial during the growth and development stage to ensure proper nutrition and healthy habits. Choice A is incorrect because decreasing calorie intake in a normal-weight 14-year-old can lead to nutrient deficiencies and hinder growth. Encouraging weight maintenance to avoid obesity is unnecessary in this scenario. Choice B is incorrect as increasing BMI is not necessary for a normal-weight individual. Taking a multivitamin without addressing specific nutritional needs may not be beneficial. Discussing body image, while important, is not the priority in this context. Choice D is incorrect as obtaining a food diary and close monitoring for anorexia assumes a problem that may not exist. It is not appropriate to assume disordered eating without evidence in a girl of normal weight.

Question 2 of 5

You are the nurse performing a health assessment of an adult male patient. The man states, The doctort has already asked me all these questions. Why are you asking them all over again? What is your best r response? A

Correct Answer: D

Rationale: The correct answer is D because it explains the importance of the nurse's role in the patient's healthcare team. By stating that the nurse is part of the team and emphasizing the goal of ensuring comprehensive care, the response validates the patient's concerns while also highlighting the collaborative nature of healthcare. This reassures the patient that their well-being is a priority and that the healthcare team is working together to provide the best care possible. Incorrect answers: A: This answer does not directly address the patient's question and does not acknowledge the redundancy of the questions. C: While this response acknowledges the patient's frustration, it does not provide a clear explanation of the nurse's role or the importance of the health assessment. B: This choice is incomplete and does not offer any relevant information or reassurance to the patient.

Question 3 of 5

You are beginning your shift on a medical unit and are performing assessments appropriate to each patients diagnosis and history. When assessing a patient who has an acute staphylococcal infection, what Test Bank - Brunner & Suddarth's Textbook of Medical-Surgical Nursing 15e 87 is the most effective technique for assessing the lymph nodes of the patients neck?

Correct Answer: C

Rationale: The correct answer is C: Palpation. When assessing lymph nodes in the neck, palpation is the most effective technique. Palpation allows the nurse to feel for any enlargement, tenderness, or firmness in the lymph nodes, which can indicate infection or inflammation. Inspection (A) involves visual examination and may not provide as much information as palpation. Auscultation (B) involves listening with a stethoscope and is not typically used for assessing lymph nodes. Percussion (D) involves tapping on the body to assess underlying structures and is not commonly used for assessing lymph nodes. Palpation is the preferred method for assessing lymph nodes due to its ability to detect abnormalities through touch.

Question 4 of 5

During your integumentary assessment of an adult female patient, you note that the patient has dry, dull, brittle hair and dry, flaky skin with poor turgor. When planning this patients nursing care, you should prioritize interventions that address what problem?

Correct Answer: C

Rationale: The correct answer is C: Deficient nutritional status. Dry, dull, brittle hair and dry, flaky skin with poor turgor are indicative of nutritional deficiencies such as inadequate intake of essential nutrients like vitamins, minerals, and proteins. Prioritizing interventions to address deficient nutritional status is crucial for improving the patient's hair and skin health. Inadequate physical activity (Choice A) may contribute to overall health concerns but is not directly related to the specific hair and skin manifestations described. Ineffective personal hygiene (Choice B) may exacerbate the dry skin condition but is not the root cause. Exposure to environmental toxins (Choice D) may affect skin health, but the symptoms described are more likely due to nutritional deficiencies.

Question 5 of 5

Youareassessingan80-year-oldpatientwhohaspresentedbecauseofanunintendedweightlossof10 poundsoverthepast8weeks.Duringtheassessment,youlearnthatthepatienthasill-fittingdentures andalimitedintakeofhigh-fiberfoods.Youwouldbeawarethatthepatientisatriskforwhatproblem?

Correct Answer: C

Rationale: Step-by-step rationale: 1. Unintended weight loss in an elderly patient can be a sign of malnutrition. 2. Ill-fitting dentures and limited intake of high-fiber foods can lead to poor nutrient absorption. 3. Malabsorption of nutrients can result in weight loss despite adequate calorie intake. 4. Therefore, the patient is at risk for malabsorption of nutrients, making choice C the correct answer. Summary: A: Constipation - Not directly related to the patient's unintended weight loss and dietary habits. B: Deficient fluid volume - Unlikely to be the primary issue causing the weight loss in this case. D: Excessive intake of convenience foods - Opposite of the patient's limited intake of high-fiber foods and not related to malabsorption.

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