To accurately assess a pregnant client's food intake, the nurse ...

[yoroshambo]

To accurately assess a pregnant client's food intake, the nurse would:
 
  1. Assess her most recent laboratory values.
  2. Ask her to complete a nutritional questionnaire.
  3. Observe for clinical signs of malnutrition.
  4. Ask about her cooking facilities.

Question 2

A 10-year-old child is transported to the Emergency Department by ambulance from the scene of a car accident. He is alert and oriented  3.
 
  His pulse, respirations, and blood pressure are stable, and his neck and back are immobilized on a backboard. The nurse sees no obvious bleeding. The child states, I can't move or feel my legs.. What injury is most likely? 1. Traumatic brain injury
  2. Ruptured spleen
  3. Traumatic shock
  4. Spinal cord injury

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Answer to Question 1

2
Rationale:
1. Laboratory values and clinical signs of malnutrition provide information only on the nutritional status of the client.
2. A nutritional questionnaire is the only method listed that assesses the client's food intake.
3. Laboratory values and clinical signs of malnutrition provide information only on the nutritional status of the client.
4. Cooking facilities are not related to food intake.

Answer to Question 2

4
Rationale:
1. Altered levels of consciousness could indicate traumatic brain injury.
2. The child might have a ruptured spleen, but it is not evident from the data given in this scenario.
3. Traumatic shock results in initially increasing then decreasing pulse and respirations and falling blood pressure.
4. Spinal cord injury results in paralysis and anesthesia of the affected body parts below the level of the lesion.

Chapter 43_LO05

[yoroshambo]

Correct answers!

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