A nurse is caring for a client who expresses concern about age gain with age. The nurse should inform the client that weight gain can result from which of the following factors?

Increase in fluid requirements

Decrease in vitamin intake

Increase in protein requirements

Decrease in muscle mass

Answer and Explanation

The Correct Answer is D

Choice A Reason:

Increase in fluid requirements is incorrect. An increase in fluid requirements is more likely to contribute to changes in fluid balance and not necessarily to long-term weight gain. While short-term fluctuations in fluid retention can affect weight, sustained weight gain is not typically attributed to increased fluid intake.

Choice B Reason:

Decrease in vitamin intake is incorrect. While inadequate vitamin intake can have various health implications, direct weight gain is not a typical outcome. However, a poor diet that lacks essential nutrients, including vitamins, can lead to overall health issues, potentially influencing weight management indirectly.

Choice C Reason:

Increase in protein requirements is incorrect. An increase in protein requirements, in itself, is not likely to result in weight gain. However, a diet with an excess of calories, including proteins, can contribute to weight gain. It's essential to consider the overall dietary balance and caloric intake.

Choice D Reason:

Decrease in muscle mass is correct. Decrease in muscle mass, known as sarcopenia, is a common age-related change. As muscle mass decreases, there can be a reduction in metabolic rate, potentially leading to weight gain. Additionally, the loss of muscle may be accompanied by an increase in fat mass, contributing to changes in overall body composition.

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Correct Answer is A

Explanation

Choice A Reason:Using direct quotes from the client in the incident report is appropriate because it provides an accurate and objective account of the client's perspective. This is an important part of documenting the incident.

Choice B Reason:Incident reports are meant to be internal documents used for quality improvement and risk management. Noting in the medical record that an incident report was completed is not appropriate, as it could imply liability or affect the legal status of the report.

Choice C Reason:The nurse should not draw conclusions about the cause of the incident in the incident report. The report should contain only objective facts, not assumptions or interpretations.

Choice D Reason:
The nurse should not draw conclusions about the cause of the incident in the incident report. The report should contain only objective facts, not assumptions or interpretations.

A. Discard the vial with the remaining medication in the sharp container. B. Have another nurse witness the disposal of the remaining medication. C. Draw up the remaining 1 mg in a syringe and label it with the contents, date, and time. D. Store the vial in the client's medication drawer for future use.

Correct Answer is C

Explanation

Choice A Reason:

Discarding the vial with the remaining medication in the sharp container is inappropriate. This would result in unnecessary waste of the medication and could lead to increased healthcare costs.

Choice B Reason:

Having another nurse witness the disposal of the remaining medication is inappropriate. Witnessing the disposal is typically required for controlled substances, but in this situation, it's more appropriate to use the remaining medication with appropriate documentation.

Choice C Reason:

Drawing up the remaining 1 mg in a syringe and label it with the contents, date, and time is appropriate. This approach minimizes medication wastage and allows for appropriate documentation of the extra dose drawn up. However, it is crucial to label the syringe clearly with the contents, date, and time to avoid any potential errors or confusion. This labeled syringe can then be used for subsequent doses, as long as it remains within the medication's expiration period and adheres to institutional policies.

Choice D Reason:

Storing the vial in the client's medication drawer for future use is inappropriate. Keeping the vial for future use without appropriate documentation is not recommended, as it may lead to medication errors or confusion.

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A nurse is caring for a client who expresses concern about age gain with age. The nurse should inform the client that weight gain can result from which of the following factors?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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