A nurse in a provider's office is caring for a client.
Click to highlight the findings that indicate malnutrition. To deselect a finding, click on the finding again.
Nurses' Notes
Today.
Client presents to the office with their adult daughter. Daughter states the client's forgetfulness has increased. She states. "I often notice uneaten meals in the microwave when I come over to visit." Daughter also reports that the client fell 1 month ago and has a wound on their leg that won't heal. On assessment skin is rough and dry, lungs are clear bilaterally, abdomen is soft and concave, and edema noted to the face and lower extremities.
Vital Signs
Today
- Temperature 37.7° C (98.9° F)
- Heart rate 103/min
- Respiratory rate 16/min
- Blood pressure 102/68 mm Hg
- Weight 65.9 kg (145 lb)
uneaten meals
wound on their leg that won't heal
skin is rough and dry
edema noted to the face and lower extremities
Weight 65.9 kg (145 lb)
The Correct Answer is ["A","B","C","D"]
- Uneaten meals suggest that the client is not consuming the food provided, which can lead to inadequate intake of nutrients and calories, thus indicating possible malnutrition.
- A wound that won't heal can be a sign of malnutrition, as proper nutrition is essential for wound healing and maintenance of skin integrity.
- Rough and dry skin can be indicative of malnutrition, particularly if there is a deficiency in essential fatty acids and other nutrients that maintain skin health.
- Edema to the face and lower extremities can be a sign of protein-energy malnutrition, where the body does not get enough protein to maintain plasma oncotic pressure, leading to fluid accumulation in tissues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While setting goals can be beneficial, simply stating this without providing practical advice or support may not address the client's specific needs.
B. Eating small portions of high-calorie foods first may not be an effective weight loss strategy, as it does not address overall caloric intake or food choices.
C. Self-monitoring eating behaviors, such as keeping a food diary or tracking portion sizes, can help individuals become more aware of their eating habits and identify areas for improvement when trying to lose weight.
D. Tasting food while cooking may not necessarily curb appetite and could potentially lead to increased calorie consumption if the individual ends up eating more during meal preparation.
Correct Answer is C
Explanation
A. While it is possible for individuals following a vegan diet to be deficient in magnesium if they do not consume enough plant-based sources, deficiencies in vitamin D are more common due to limited dietary sources and reduced exposure to sunlight.
B. Vitamin C deficiency is rare in individuals following a vegan diet, as many fruits and vegetables are good sources of this nutrient.
C. Vitamin D deficiency is common in individuals following a vegan diet, as the primary dietary sources of vitamin D are animal products such as fatty fish, eggs, and fortified dairy products. Vegans may need to rely on fortified foods or supplements to meet their vitamin D needs.
D. Folic acid deficiency is not typically associated specifically with a vegan diet. However, individuals following any type of restrictive diet should ensure they are consuming adequate amounts of folate-rich foods or consider supplementation if necessary.
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