QUESTIONS AND VERIFIED ANSWERS COMPLETE
SOLUTIONS ALL GUARANTEED GRADED A+
A nurse is caring for a 72-year-old patient who has lost 15 lb in 1 month. The patient is weak, has dry mucous
membranes, and poor skin turgor.
1. What is the priority nursing action?
A. Start high-calorie diet immediately
B. Assess vital signs and hydration status
C. Notify provider for TPN
D. Encourage oral protein intake only
Answer: B
Rationale:
First priority is assessment (ABCs + hydration status) before intervention. NGN prioritizes safety and data
collection.
,2. Which finding is most concerning?
A. Weight loss
B. Dry mucous membranes
C. Increased appetite
D. Mild fatigue
Answer: B
Rationale:
Dry mucous membranes = dehydration → potential instability
3. Best expected provider order?
A. NPO status
B. Gradual refeeding plan
C. High sodium diet
D. Fluid restriction
Answer: B
Rationale:
Malnourished patients risk refeeding syndrome, so nutrition must be gradual.
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, 🩺 SCENARIO 2: HEART FAILURE & NUTRITION
A patient with CHF is admitted with edema, weight gain, and shortness of breath.
4. Priority dietary intervention?
A. Increase fluids
B. Low sodium diet
C. High protein diet
D. High potassium diet
Answer: B
Rationale:
Sodium increases fluid retention → worsens CHF.
5. Which assessment requires immediate action?
A. Weight gain of 2 lb in 24 hrs
B. Dry skin
C. Mild hunger
D. Increased urine output
Answer: A
Rationale:
Rapid weight gain = fluid overload warning
6. Best patient teaching?
A. “Drink more fluids daily”
B. “Avoid processed foods”
C. “Increase salt intake for energy”
D. “Skip medications if swelling improves”
Answer: B
Rationale:
Processed foods = high sodium.
🩺 SCENARIO 3: DIABETES HYPOGLYCEMIA
A diabetic patient becomes sweaty, shaky, and confused. Blood glucose is 52 mg/dL.