A client visits a health care facility reporting loss of appetite following a prolonged illness. How should the nurse document the client's condition?

Anorexia

Emaciation

Cachexia

Nausea

Answer and Explanation

The Correct Answer is A

The nurse should document the client's condition as anorexia. Anorexia refers to the loss of appetite or desire to eat. In this case, the client is reporting a loss of appetite following a prolonged illness, which would be accurately described as anorexia.

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Correct Answer is D

Explanation

The number "+3" in this documentation represents the pulse amplitude. Pulse amplitude refers to the strength or force of the pulse and is typically measured on a scale of 0 to 4+. A "+3" pulse is considered to be full or strong, indicating good blood ﬂow to the area being palpated.

A. Self-Care Deficit related to weakness and debilitation B. Powerlessness related to chronic disease state C. Altered Nutrition, Less Than Body Requirements related to the inability to absorb nutrients D. Risk for Injury related to unsteady gait

Correct Answer is C

Explanation

According to Maslow's hierarchy of needs model, physiological needs such as food, water, and shelter are the most basic and fundamental needs that must be met before higher-level needs can be addressed. In this scenario, the nursing diagnosis of Altered Nutrition, Less Than Body Requirements related to inability to absorb nutrients addresses a fundamental physiological need and should be identified as the highest priority for this client. The other nursing diagnoses listed address important needs related to safety, self-care, and psychological well-being, but these needs are considered higher-level needs according to Maslow's hierarchy and should be addressed after the client's basic physiological needs have been met.

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A client visits a health care facility reporting loss of appetite following a prolonged illness. How should the nurse document the client's condition?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse palpates the pulse of a client and documents the following: 6/6/12 pulse 85 and regular, 3+ and equal in radial, popliteal, and dorsalis pedis. What does the number "+3" represent?

Correct Answer is D

Explanation

A client is hospitalized with numerous acute health problems. According to Maslow's hierarchy of needs model, which nursing diagnosis should the nurse identify as being the highest priority for this client?

Correct Answer is C

Explanation

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