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.

Correct Answer: B

Rationale: The correct answer is B: Where exactly is your abdominal pain and when did it start? This question is specific, focused on the patient's chief complaint, and helps in understanding the location and onset of the pain. It allows for a targeted assessment and aids in determining the possible cause of the pain. A: Why do you think your abdomen is painful? - This question is vague and may not provide precise information about the location and onset of the pain. C: What brings you to the hospital today? - This question is general and may not address the specific concern of abdominal pain. D: What is wrong with you today? - This question is broad and may not help in obtaining detailed information about the abdominal pain.

Correct Answer: C

Rationale: The correct answer is C: "What limitations are you dealing with related to your health and being in a wheelchair?" This question is the most appropriate as it directly addresses the patient's current health status and the impact of being wheelchair-bound on his daily life. It shows a focus on assessing the patient's functional status and potential challenges he may be facing due to his condition. Choice A is incorrect because while knowing about the patient's medications and how he obtains them is important, it does not directly address the impact of his current health status and wheelchair use. Choice B is incorrect as it focuses on the patient's living situation rather than his health status and wheelchair limitations. Choice D is incorrect as it is a vague and open-ended question that does not specifically address the patient's health status and the impact of being wheelchair-bound. In summary, choice C is the correct answer as it directly addresses the patient's health and functional limitations, which are crucial for providing appropriate care and support.

Correct Answer: A

Rationale: The correct answer is A because listening to body sounds using a stethoscope is called auscultation, not palpation. Using a diaphragm is essential for hearing heart murmurs clearly. It requires a trained ear to distinguish the sounds accurately. Choice B is incorrect because palpation involves feeling with hands, not listening with a stethoscope. Choice C is incorrect because not all heart murmurs are pathologic and require surgery. It is important to provide accurate information to the patient. Choice D is incorrect because it does not mention the correct term "auscultation" and lacks the essential information about using a stethoscope with a diaphragm.

Correct Answer: B

Rationale: The correct answer is B because the question states that the nurse is performing an assessment, not determining a specific BMI value. The nurse would assess various factors to determine the patient's weight status, not just the BMI. Choice A is incorrect because it assumes the nurse has already determined the BMI, which is not specified in the question. Choice C is incorrect as it provides an extreme and definitive judgment without proper assessment. Choice D is incomplete. In summary, the correct answer is B as it aligns with the process of assessment and avoids making assumptions or extreme judgments.