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WGU D440 Nutrition Exam with Questions and 100% Correct Solutions
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WGU D440 Nutrition Exam with Questions and 100% Correct Solutions
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WGU D440 Nutrition Exam withQuestions and 100% Correct
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The nurse is assigned to care for a group of clients. On review of the clients'
medical records, the nurse determines that which client is most likely at risk for
a fluid volume deficit?
1. A client with an ileostomy
2. A client with heart failure
3. A client on long-term corticosteroid therapy
4. A client receiving frequent wound irrigations - Answer Causes of a fluid
volume deficit include vomiting, diarrhea, conditions that cause increased
respirations or increased urinary output, insufficient intravenous fluid
replacement, draining fistulas, and the presence of an ileostomy or colostomy.
The nurse is reading a physician's progress notes in the client's record and reads
that the physician has documented "insensible fluid loss of approximately 800
mL daily." The nurse plans to monitor the client, knowing that insensible fluid
loss occurs through which type of excretion?
1. Urinary output
2. Wound drainage
3. Integumentary output
4. The gastrointestinal tract - Answer Integumentary output. Insensible losses
may occur without the person's awareness. Insensible losses occur daily through
, the skin and the lungs. Sensible losses are those of which the person is aware,
such as through urination, wound drainage, and gastrointestinal tract losses.
The nurse reviews a client's laboratory report and notes that the client's serum
phosphorus (phosphate) level is 1.8 mg/dL (0.58 mmol/L). Which condition most
likely caused this serum phosphorus level?
1. Malnutrition
2. Renal insufficiency
3. Hypoparathyroidism
4. Tumor lysis syndrome - Answer The client is experiencing
hypophosphatemia. Causative factors relate to malnutrition or starvation and
the use of aluminum hydroxide-based or magnesium-based antacids. Renal
insufficiency, hypoparathyroidism, and tumor lysis syndrome are causative
factors of hyperphosphatemia.
The nurse suspects hyponatremia. What additional sign would the nurse expect to
note in a client with hyponatremia?
1. Muscle twitches
2. Decreased urinary output
3. Hyperactive bowel sounds
4. Increased specific gravity of the urine - Answer Hyperactive bowel sounds
indicate hyponatremia. In hyponatremia, muscle weakness, increased
urinary output, and decreased specific gravity of the urine would be noted.
The nurse is assessing a client with a lactose intolerance disorder for a
suspected diagnosis of hypocalcemia. Which clinical manifestation would the
nurse expect to note in the client?
1. Twitching
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