A nurse is assessing an older adult's nutritional status. The nurse understands that which of the following is the most important indicator for a potential nutritional deficit?
Decreased serum albumin levels
Decreased vitamin D levels
Unintentional weight loss,
Anorexia lasting more than 24 hours
The Correct Answer is C
A. Decreased serum albumin levels.
Explanation: Decreased serum albumin levels can be an indicator of poor nutritional status, but they are not as immediate or easily observed as unintentional weight loss.
B. Decreased vitamin D levels.
Explanation: Decreased vitamin D levels may indicate a specific nutrient deficiency but may not capture the overall nutritional status comprehensively.
C. Unintentional weight loss.
Explanation: Unintentional weight loss is a significant indicator of potential nutritional deficits and can be associated with underlying health issues. It can lead to deficiencies in essential nutrients, negatively impacting an individual's overall health and well-being. Weight loss should prompt further assessment and intervention to identify the underlying causes and address nutritional needs
D. Anorexia lasting more than 24 hours.
Explanation: Anorexia (loss of appetite) lasting more than 24 hours may contribute to inadequate nutrient intake, but it is not as direct an indicator as unintentional weight loss, which reflects changes in body composition and overall nutritional status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
A. Optimize physical health
Explanation: A person-centered community focuses on promoting and optimizing the physical health of its residents. This may include access to healthcare services, wellness programs, and activities that support overall well-being.
B. Provide financial assistance
Explanation: While financial considerations can impact an individual's overall well-being, providing financial assistance is not a standard component of a person-centered community. The focus is more on holistic care, social engagement, independence, and addressing basic needs. Financial assistance is often managed through external programs or services.
C. Provide social engagement
Explanation: Social engagement is a crucial component of person-centered care. Communities that prioritize person-centered care create environments that foster social interaction, community involvement, and meaningful connections among residents.
D. Maximize independence
Explanation: Person-centered communities aim to maximize the independence of their residents. This involves tailoring care and support to the individual's needs while empowering them to maintain autonomy and control over their daily lives.
E. Address basic needs
Explanation: Addressing basic needs is fundamental in a person-centered community. This includes ensuring that residents have access to essential necessities such as food, shelter, and personal care to create a supportive and dignified living environment.
Correct Answer is ["A","B","C","D","E"]
Explanation
A. Pointing to a grimacing face or crying
Explanation: This behavior may indicate pain or discomfort, and it's important to assess and address the underlying cause.
B. Staring off into space
Explanation: Staring off into space may suggest disorientation or confusion. It's essential to evaluate whether this behavior is a manifestation of the client's cognitive impairment or if there are other contributing factors.
C. Aggression
Explanation: Aggression can be a behavioral expression of distress or frustration in cognitively impaired individuals. Identifying triggers and employing appropriate interventions is crucial for the safety of the client and others.
D. Agitation
Explanation: Agitation, restlessness, or pacing may be signs of discomfort, anxiety, or frustration in cognitively impaired individuals. Identifying the cause and implementing strategies to reduce agitation are essential aspects of care.
E. Increased confusion
Explanation: A sudden increase in confusion may indicate an underlying issue, such as an infection, medication side effect, or environmental change. Regular assessment of cognitive status helps in detecting changes and addressing them promptly.
F. Decreased passivity
Explanation: Passivity, or a lack of activity or initiative, is not necessarily a specific symptom commonly associated with cognitive impairment. Observing for changes in behavior, mood, and cognitive status is important, but the term "decreased passivity" is not a standard indicator of cognitive impairment. Instead, it's essential to assess for changes in behavior that may indicate distress or unmet needs.
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