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Exam (elaborations) NURS135 Practice HESI

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NURS135 Practice HESI
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NURS135 Practice HESI

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, The nurse understands that research demonstrates that malnutrition occurs in as many
as 50% of hospitalized clients. The nurse should assess a postoperative client with
anorexia for what sign of malnutrition?

A. Dependent edema
B. Spoon-shaped nails
C. Loose, decayed teeth
D. Delayed wound healing - CORRECT ANSWERS-D. Delayed wound healing

Delayed wound healing often is caused by a lack of nutrients, such as protein and
vitamin C, in the diet. Dependent edema usually occurs with severe protein deficiency
and heart failure. Spoon-shaped nails usually occur with iron deficiency anemia. Loose,
decayed teeth usually indicate prolonged malnutrition.

As the nurse is teaching a child's parents about celiac disease, the mother sighs and
says, "My neighbor told me that I'll only need to monitor the diet until our child is 8 years
old. I'm so relieved. You know how kids are about eating!" On what fact should the
nurse's response be based?

A. The basic defect of celiac disease is lifelong.
B. Susceptibility to celiac crisis lessens with age.
C. The diet is relatively easy to follow for a growing child.
D. The child will be able to tolerate small amounts of gluten by school age. - CORRECT
ANSWERS-A. The basic defect of celiac disease is lifelong.

The diet must continue to be followed because the child will always have an absence of
peptidase; some variations in the diet may be allowed, but this should not be promised.
Each phase of child development may have problems related to dietary management;
follow-up care is needed to prevent crises. A restricted diet is never easy to follow,
especially for a growing child. Gluten must be avoided for a prolonged period and
perhaps indefinitely.

Thick mucous gland secretions, elevated sweat electrolytes, meconium ileus, and
difficulty maintaining and gaining weight are associated with which autosomal recessive
disorder?

A. Cerebral palsy
B. Cystic fibrosis
C. Muscular dystrophy
D. Multiple sclerosis - CORRECT ANSWERS-B. Cystic Fibrosis

The early symptom of cystic fibrosis is meconium ileus, which is impacted stool in the
newborn. Thick mucous secretions, salty sweat, and difficulty gaining weight because of
high caloric demands are characteristics of the condition. Cerebral palsy is a motor
disorder caused by damage to the brain. Muscular dystrophy is a muscular disorder.
Multiple sclerosis is a condition with progressive disintegration of the myelin sheath.

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NURS135 Practice HESI
Course
NURS135 Practice HESI

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