Author Question: A nurse is concerned that a client is not eating a sufficient amount. Which assessment findings ... (Read 36 times)

tnt_battle · **on:** Jul 23, 2018

A nurse is concerned that a client is not eating a sufficient amount. Which assessment findings would support this concern?

1. The client complains of weakness.
2. The client's muscles appear wasted.
3. The client doesn't remember what day it is.
4. The client's subcutaneous fat layer is thinner.
5. The client's skin is oily.

Question 2

A woman calls the emergency department and says, My 2-year-old just swallowed about 20 of my magnesium tablets. What direction should the nurse provide?

1. Call 911 to bring your child to the emergency room immediately.
2. Watch your child for decreased breathing.
3. Give your child a glass of milk.
4. Your child may be sleepy, but will not have any permanent damage.
5. Give your child a laxative tonight and come to the emergency room in the morning.

jaaaaaaa · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 1,2,4
Rationale 1: Generalized weakness is a common assessment in the client with insufficient intake.
Rationale 2: Muscle wasting is a common finding associated with insufficient intake of food.
Rationale 3: Confusion is an assessment finding associated with many disease processes and is not particular to insufficient intake.
Rationale 4: Loss of subcutaneous fat supports the diagnosis of insufficient intake.
Rationale 5: Insufficient intake would generally result in dry, flaky skin.

Answer to Question 2

Correct Answer: 1,2
Rationale 1: This is an emergency situation and the child will require treatment.
Rationale 2: While waiting for the ambulance, the mother should observe the client for respiratory suppression.
Rationale 3: Drinking milk will not provide an antidote for magnesium overdose.
Rationale 4: This overdose is an emergency situation.
Rationale 5: The child needs immediate assessment and treatment.