The nurse is preparing to perform a nutritional assessment of a newly admitted client. What question would be most appropriate for the nurse to ask when initiating the assessment?
"Are there any foods that you cannot eat?"
"What have you eaten in the last 24 hours?"
"Are any members of your family obese?"
"How many meals do you eat each day?"
The Correct Answer is B
Choice A reason: Food restrictions identify allergies or preferences, but not intake patterns. This limits nutritional status insight, missing recent consumption data critical for assessing current health, making it less foundational for this initial evaluation fully here.
Choice B reason: A 24-hour recall details recent intake, offering a snapshot of diet quality and quantity. This directly informs nutritional status, habits, and deficits, making it the most appropriate starting question for a comprehensive assessment accurately here.
Choice C reason: Family obesity history suggests genetic risk, not the client’s nutrition. This indirect data lacks specificity on current intake, rendering it less useful than a direct dietary recall for this nutritional assessment entirely and fully here.
Choice D reason: Meal frequency provides structure, not content or quality. It’s less informative than a 24-hour recall, which captures specifics of what’s eaten, making it secondary for initiating a detailed nutritional evaluation comprehensively here fully.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Bilateral malalignment implies both eyes misalign variably, but esotropia specifies inward deviation, often unilateral. This vague term doesn’t match the precise diagnosis of esotropia present for five years, making it less expected here fully.
Choice B reason: Left eye turning outward is exotropia, not esotropia, which turns inward. This contradicts the client’s documented condition, misaligning with the expected inward deviation from cranial nerve VI or muscle imbalance entirely and accurately here.
Choice C reason: Oscillating eyes suggest nystagmus, not esotropia’s fixed inward turn. Esotropia is static misalignment, not rhythmic movement, excluding this as the priority finding for this client’s established eye condition in this exam fully here.
Choice D reason: Right eye turning inward fits esotropia, a common misalignment where one eye deviates medially. Given the five-year history, this is the expected external exam finding, reflecting the diagnosis accurately and consistently in this case here.
Correct Answer is A
Explanation
Choice A reason: Trigeminal neuralgia causes sharp, intermittent facial pain lasting minutes due to cranial nerve V irritation. Normal vitals and no systemic symptoms align with this neuropathic condition, distinguishing it from inflammatory or vascular headache causes in this presentation.
Choice B reason: Meningitis presents with fever, neck stiffness, and severe headache, not intermittent facial pain. Normal temperature and vitals here rule out this acute infection, which affects meninges broadly, not just facial nerves, making it an unlikely fit.
Choice C reason: Migraines involve throbbing head pain, often with nausea or photophobia, lasting hours, not minutes of facial pain. The client’s brief, episodic description and normal vitals don’t match migraine’s typical systemic or prolonged profile, excluding it here.
Choice D reason: TMJ dysfunction causes jaw pain, often with chewing difficulty or joint sounds, not intermittent facial pain alone. Normal vitals and no joint-specific complaints suggest this isn’t TMJ-related, pointing instead to a neural origin like trigeminal neuralgia.
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