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 A

Explanation

A. Standards of care published by reputable organizations, such as the Oncology Nursing Society, provide evidence-based guidelines and best practices.
B. While the experience of a nurse in a chemotherapy clinic is valuable, it may not represent standardized, evidence-based practices.
C. A qualitative study may provide insights into clients' perspectives but may not necessarily offer specific interventions for oral care.
D. Published textbooks can be valuable resources, but standards of care from professional organizations are generally more up-to-date and evidence-based.

A. Decreased respiratory rate B. Hypoglycemia C. Hypertension D. Bradycardia

Correct Answer is C

Explanation

A. Acute pain is more likely to increase respiratory rate, not decrease it.
B. Acute pain does not typically cause hypoglycemia.
C. Acute pain is often associated with an increase in blood pressure (hypertension).
D. Acute pain tends to increase heart rate (tachycardia), not decrease it.

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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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Correct Answer is C

Explanation

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