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.

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: 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.

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.