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.

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.

Correct Answer: A

Rationale: The correct answer is A because it addresses the patient's concern about privacy and confidentiality. By stating that the information is maintained in a secure place and only accessible to healthcare professionals directly involved in the patient's care, it reassures the patient that their information is protected. Choice B is incorrect because it limits access based on current employment status, which may not necessarily ensure the confidentiality of the information. Choice C is incorrect because allowing anyone with permission from the patient to access the information may not always guarantee confidentiality. Choice D is incorrect because it includes representatives of the insurance company, which could compromise the patient's privacy.