A nurse is collecting data for a client who has malnutrition resulting from a chronic illness. Which of the following manifestations should the nurse expect to find?

Non-palpable spleen

Rough, dry skin.

Presence of surface papillae on tongue

Slightly moist skin

Answer and Explanation

The Correct Answer is B

A.   Non-palpable spleen is not a typical manifestation of malnutrition but may be associated with other health conditions.
B.   Rough, dry skin is a common manifestation of malnutrition, reflecting deficiencies in essential nutrients affecting skin health.
C.   The presence of surface papillae on the tongue is not specifically associated with malnutrition.
D.   Slightly moist skin is less likely in malnutrition; dry skin is more characteristic.

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Correct Answer is C

Explanation

Individuals with dementia often benefit from routine, but too many choices can be overwhelming.
B: While a written schedule can be helpful, a consistent routine is generally more beneficial for clients with dementia.
C: Providing a consistent daily routine helps decrease anxiety and confusion for clients with dementia.
D: Overhead loudspeakers may cause agitation and confusion in clients with dementia.

A. Encourage the client to take slow deep breaths. B. Obtain blood work from the client. C. Request a prescription for an analgesic for the client. D. Check the clients oxygen saturation level

Correct Answer is A

Explanation

A. Encouraging slow deep breaths involves addressing the client's emotional and psychological well-being, reflecting a holistic approach to pain management.
B. Obtaining blood work is a medical intervention and may not address the holistic aspects of pain management.
C. Requesting a prescription for an analgesic addresses the physical aspect of pain but may not be considered holistic.
D. Checking oxygen saturation is a physiological measure and may not directly address the holistic aspects of pain management.

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A nurse is collecting data for a client who has malnutrition resulting from a chronic illness. Which of the following manifestations should the nurse expect to find?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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