Youareperformingadietaryassessmentwithapatientwhohasbeenadmittedtothemedicalunitwith

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Question 1 of 5

Youareperformingadietaryassessmentwithapatientwhohasbeenadmittedtothemedicalunitwith

Correct Answer: D

Rationale: The correct answer is D because it acknowledges the importance of cultural and religious practices in dietary guidelines. By addressing cultural considerations, healthcare providers can provide more personalized and respectful care. Choice A is incorrect as it does not directly address the patient's concerns and may come off as dismissive. Choice B is incorrect as it focuses solely on foreign-born patients, neglecting the broader cultural diversity of patients. Choice C is incomplete and irrelevant. In summary, choice D is the best response as it demonstrates cultural competence and respect for the patient's beliefs and practices.

Question 2 of 5

The admitting nurse has just met a new patient who has been admitted from the emergency departrment. As the nurse introduces himself, he begins the process of inspection. What nursing action should the A nurse include during this phase of assessment?

Correct Answer: C

Rationale: The correct answer is C because during the inspection phase of the assessment, the nurse should pay attention to details while observing the patient's physical appearance, behavior, and overall condition. This helps the nurse gather important data for further assessment and plan of care. Option A is incorrect as psychosocial details are usually gathered during the interview phase. Option B is incomplete. Option D is incorrect as writing down details during observation may distract the nurse from accurately assessing the patient.

Question 3 of 5

During a health assessment of an older adult with multiple chronic health problems, the nurse practitioner is utilizing multiple assessment techniques, including percussion. What is the essential principle of percussion? t

Correct Answer: A

Rationale: The correct answer is A: To assess the sound created by the body. Percussion is a technique used to assess the density of underlying tissues by producing sounds. By tapping on the body surface, the nurse can evaluate the resonance, dullness, or flatness of different body parts. This helps in identifying abnormalities or fluid-filled areas within the body. Choice B is incorrect because percussion involves tapping, not striking, the body with a soft object. Choice C is incorrect because percussion is used to assess tissue density, not to create sound over dead spaces. Choice D is incorrect as percussion aims to produce sound, not vibration in a body wall.

Question 4 of 5

A 51-year-old womans recent complaints of fatigue are thought to be attributable to iron-deficiency

Correct Answer: C

Rationale: The correct answer is C: The patient's serum. In cases of iron deficiency, serum testing is used to measure various markers such as ferritin, iron, and transferrin saturation levels. Serum testing provides valuable information about the patient's iron status and can help confirm a diagnosis of iron deficiency anemia. Choice A is incorrect because transferrin levels are typically assessed in the serum, not the urine. Choice B is incorrect because urine testing is not commonly used to assess iron deficiency. Choice D is incorrect because cerebrospinal fluid testing is not relevant for diagnosing iron deficiency. Serum testing is the most appropriate and commonly used method for evaluating iron deficiency.

Question 5 of 5

A school nurse at a middle school is planning a health promotion initiative for girls. The nurse has identified a need for nutritional teaching. What problem is most likely to relate to nutritional problems in girls of this age?

Correct Answer: A

Rationale: The correct answer is A: Protein intake in this age group often falls below recommended levels. During adolescence, girls experience rapid growth and development, requiring adequate protein intake for muscle and tissue growth. Inadequate protein intake can lead to growth issues, weakened immune system, and poor overall health. Protein is essential for hormone production and repair of body tissues, making it crucial during this stage. Choices B, C, and D are incorrect because insufficient total calorie intake can be a concern, but protein is specifically highlighted for growth and development during adolescence. Calcium intake being above recommended levels is unlikely and not typically associated with nutritional problems in girls of this age.

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