Test Bank For Health Assessment in Nursing, 5th Edition

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Page 11.Assessment of a client reveals a history of insulin-dependent diabetes mellitus, weightloss, polyuria, poor skin turgor, nausea, loss of appetite, and a blood glucose levelmeasured by finger stick of 348 mg/dL. Which of the following nursing diagnoseswould be the nurse's priority?A)Risk for imbalanced fluid volume related to inadequate oral intake and frequenturinationB)Imbalanced nutrition: more than body requirements related to diabetesC)Potential complication: hypertensionD)Powerlessness related to diabetes self-care and management2.The nurse's assessment reveals that a client is in a low percentile for midarm musclecircumference (MAMC) and a high percentile for triceps skin fold (TSF) thickness.Which of the following would be appropriate?A)Teaching the client muscle-building exercisesB)Discussing ways to increase body fat storesC)Assisting client in reducing the amount of fluid build-upD)Encouraging the use of a multivitamin supplement3.An adult client weighs 175 pounds and is 5 feet 6 inches tall. The nurse determines thatthe client's body mass index is which of the following?A)12B)18C)25D)284.A client weighs 106 pounds and is 5 feet 5 inches tall. As a result, her ideal body weightis 120 pounds. After determining the client's percentage of ideal body weight, which ofthe following should the nurse conclude?A)Client is mildly malnourished.B)Client is experiencing moderate malnutrition.C)Severe malnutrition is present.D)The client's body weight is within 10% of ideal body weight.5.A nurse is reviewing the laboratory test results of an adult client who has numerouschronic health challenges. Which assessment result would alert the nurse to potentialmalnutrition?A)Hemoglobin of 13.1 g/dLB)Hematocrit of 40%C)Serum albumin of 2.6 g/dLD)Total protein of 7 g/dL

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Nursing

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Health Assessment In Nursing by Jan...

Test Bank For Health Assessment in Nursing, 5th Edition

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