A dietitian is providing an in-service for the nurses on a medical-surgical unit. During the in-service, the dietitian informs the group that there are six classes of nutrients, and three supply the body with energy. Which of the following are the three energy-supplying nutrients?

Carbohydrates, proteins, and lipids.

Vitamins, minerals, and water.

Water, lipids, and proteins.

Lipids, vitamins, and minerals.

Answer and Explanation

The Correct Answer is A

The correct answer is choice A, "Carbohydrates, proteins, and lipids." These three nutrients are macronutrients and supply the body with energy when consumed. Carbohydrates provide 4 kilocalories (kcal) per gram, proteins provide 4 kcal per gram, and lipids (fats) provide 9 kcal per gram. Vitamins, minerals, and water are essential for overall health and body function, but they do not supply energy to the same extent as macronutrients.

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Correct Answer is A

Explanation

The correct answer is choice A, feeding. Aspiration is a serious risk for clients who have difficulty swallowing or have other conditions that increase the risk of food or liquid entering the airway. During feeding, the nurse should monitor the client closely for any signs of distress or difficulty swallowing. The nurse may need to modify the consistency or texture of the food or liquid or use assistive devices such as a straw or feeding tube to reduce the risk of aspiration. Additionally, the nurse may need to position the client upright and provide support as needed during feeding. While safety observations are important during all activities, feeding is the most critical activity for clients at high risk of aspiration.

A. Skin fold is difficult to lift/pinch. B. Skin fold is released and an indentation of 2 mm remains. C. Skin fold returns to its usual shape quickly when released. D. Skin fold returns to its usual shape slowly when released.

Correct Answer is C

Explanation

The correct answer is choice C: Skin fold returns to its usual shape quickly when released. When assessing skin turgor, the nurse is checking for the elasticity and hydration of the skin. In a normal assessment, when the skin fold is lifted or pinched, it should return to its usual shape quickly when released. This indicates good skin turgor, which is an indication of proper hydration. If the skin fold is difficult to lift or pinch (choice A), this indicates poor skin turgor and possible dehydration. If an indentation of 2 mm remains after releasing the skin fold (choice B), this indicates poor skin turgor and possible dehydration. If the skin fold returns to its usual shape slowly when released (choice D), this may indicate a decrease in skin elasticity and possible dehydration.

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A dietitian is providing an in-service for the nurses on a medical-surgical unit. During the in-service, the dietitian informs the group that there are six classes of nutrients, and three supply the body with energy. Which of the following are the three energy-supplying nutrients?

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For a client at a high risk of aspiration, the nurse anticipates that there will be goals and interventions (taking action) related to safety observations during:

Correct Answer is A

Explanation

The nurse is performing a head-to-toe assessment on a patient. The nurse uses their thumb and first finger to lift or pinch a fold of skin under the clavicle to check for skin turgor. Which of the following findings would be considered normal for this assessment?

Correct Answer is C

Explanation

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