A nurse is planning care for several clients. Which client(s) are at an increased risk for malnutrition? Select all that apply.

A client undergoing peritoneal dialysis.

A client recovering from a severe burn injury.

A client living with progressing dementia.

A client experiencing severe depression.

A client receiving intravenous fluids for diarrhea.

Answer and Explanation

Correct Answer : A,B,C,D,E

A. A client undergoing peritoneal dialysis is at an increased risk for malnutrition due to the loss of protein and other nutrients during the dialysis process. This can lead to deficiencies if not properly managed with dietary adjustments and supplementation.

B. A client recovering from a severe burn injury has increased metabolic demands and nutrient needs for wound healing and recovery. Without adequate nutrition, these clients are at high risk for malnutrition and related complications.

C. A client living with progressing dementia may experience difficulties with eating and maintaining proper nutrition due to cognitive decline. This can lead to unintentional weight loss and malnutrition if not addressed with appropriate interventions.

D. A client experiencing severe depression may have a reduced appetite and lack of interest in food, leading to inadequate nutrient intake and potential malnutrition. Depression can significantly impact dietary habits and overall nutritional status.

E. A client receiving intravenous fluids for diarrhea is at risk for malnutrition due to the loss of fluids and electrolytes. Diarrhea can lead to dehydration and nutrient deficiencies, making it essential to monitor and address the nutritional needs of these clients.

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Correct Answer is C

Explanation

Choice C reason:

Lactating mothers who are breastfeeding need to drink the most amount of water to remain adequately hydrated. Breastfeeding increases a mother’s fluid needs because a significant amount of water is used to produce breast milk. Adequate hydration is essential to maintain milk production and overall health. Lactating mothers are advised to drink more fluids than the average adult to compensate for the fluid loss through breastfeeding.

Choice A reason:

Clients who are between the ages of 19 and 64 years old have standard hydration needs based on their activity level, climate, and overall health. While staying hydrated is important for this age group, their fluid requirements are not as high as those of lactating mothers.

Choice B reason:

Older adult clients who are receiving dialysis twice a week need to manage their fluid intake carefully. Dialysis patients often have fluid restrictions to prevent fluid overload, which can lead to complications. Therefore, they do not need to drink the most amount of water compared to other groups.

Choice D reason:

Adolescent females who are menstruating may experience increased fluid needs due to blood loss and hormonal changes, but their hydration requirements are not as high as those of lactating mothers. While it is important for them to stay hydrated, they do not need to drink the most amount of water.

A. Consume primarily soft mechanical foods. B. Take rest periods in between meals. C. Add aromatic seasonings to improve taste. D. Drink a glass of water with every meal.

Correct Answer is C

Explanation

Choice C reason:

Adding aromatic seasonings to improve taste is a practical recommendation for older adults. As people age, their sense of taste and smell can diminish, making food less appealing. Using aromatic seasonings can enhance the flavor of meals, encouraging better appetite and nutritional intake. This approach helps ensure that older adults enjoy their food and maintain a balanced diet.

Choice A reason:

Consuming primarily soft mechanical foods is not necessary for all older adults unless they have specific dental or swallowing issues. A varied diet with different textures is important for overall nutrition and enjoyment of food.

Choice B reason:

Taking rest periods in between meals is not a standard recommendation for improving nutritional intake. While rest is important, it does not directly address the nutritional needs or preferences of older adults.

Choice D reason:

Drinking a glass of water with every meal is beneficial for hydration but does not address the issue of improving the taste and appeal of food. Hydration is important, but enhancing the flavor of meals is more directly related to improving nutritional intake.

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A nurse is planning care for several clients. Which client(s) are at an increased risk for malnutrition? Select all that apply.

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Naxlex Comprehensive Predictor Exams

The nurse is planning a nutritional class for adequate daily intake of water. Which population of clients should drink the most amount of water to remain adequately hydrated?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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