A nurse is collecting data from a client who is malnourished due to inflammatory bowel disease. Which of the following findings should the nurse expect?
Brittle hair
Yellow conjunctivae
Bradycardia
Clubbing of the fingernails
The Correct Answer is A
A. Brittle hair: Malnutrition often leads to protein and micronutrient deficiencies, which impair hair growth and texture, resulting in dry, brittle, or thinning hair. This is a common visible sign in clients with poor nutritional status.
B. Yellow conjunctivae: Yellowing of the conjunctivae typically indicates jaundice due to liver dysfunction or hemolysis, not malnutrition from inflammatory bowel disease. It reflects bilirubin accumulation rather than nutrient deficiency.
C. Bradycardia: While bradycardia may occur in severe starvation or electrolyte imbalance, it is not a consistent or early indicator of malnutrition from inflammatory bowel disease. It requires further context to be clinically relevant.
D. Clubbing of the fingernails: Clubbing is associated with chronic hypoxia or pulmonary/cardiac conditions. It is not commonly linked to malnutrition or inflammatory bowel disease unless there are severe complications such as chronic anemia or hypoxia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Chlorine bleach: Chlorine bleach is the recommended disinfectant for cleaning surfaces contaminated with Clostridium difficile spores. It is effective in killing these hardy spores that are resistant to many other disinfectants.
B. Chlorhexidine: Chlorhexidine is an antiseptic commonly used for skin cleansing, not for disinfecting environmental surfaces contaminated with C. difficile. It is ineffective against spores.
C. Triclosan: Triclosan is an antimicrobial found in some personal care products, but it is not suitable or approved for disinfecting surfaces in healthcare settings, especially against C. difficile.
D. Isopropyl alcohol: Alcohol-based disinfectants are ineffective against C. difficile spores. They do not have sporicidal activity and are not recommended for cleaning in cases of C. difficile infection.
Correct Answer is C
Explanation
A. Overweight: A body mass index (BMI) between 25 and 29.9 is classified as overweight. Since the client’s BMI is 32, this category does not apply.
B. Underweight: A BMI less than 18.5 is considered underweight. The client’s BMI of 32 is well above this range, ruling out this classification.
C. Obesity class I: A BMI between 30 and 34.9 falls into obesity class I. The client’s BMI of 32 fits into this category, indicating a level of obesity that increases the risk for chronic health conditions.
D. Normal weight: Normal weight is defined as a BMI between 18.5 and 24.9. Since the client’s BMI exceeds this range, this classification is not appropriate.
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