The nurse is visiting an older adult client who is homebound. Which finding about the client's nutritional status requires additional follow- up?

Continues to take a prescribed vitamin D supplement.

Usually eats an additional serving of protein rich foods daily.

Takes 1200 mg of an over-the-counter calcium supplement daily.

Ate approximately 1,200 calories daily for the past two weeks.

Answer and Explanation

The Correct Answer is D

A. Continues to take a prescribed vitamin D supplement. Vitamin D supplementation is recommended for older adults to support bone health and calcium absorption. This does not require additional follow-up.
B. Usually eats an additional serving of protein-rich foods daily. Adequate protein intake is essential for muscle maintenance and overall health in older adults. This is a positive nutritional habit and does not indicate a concern.
C. Takes 1200 mg of an over-the-counter calcium supplement daily. This is within the recommended daily intake for older adults (1,000-1,200 mg/day) to maintain bone health. Excess calcium intake should be monitored, but this amount alone does not require urgent follow-up.
D. Ate approximately 1,200 calories daily for the past two weeks. Older adults typically need at least 1,500-2,000 calories per day, depending on activity level and health conditions. A prolonged intake of only 1,200 calories per day may indicate malnutrition, unintentional weight loss, or inadequate nutrient intake, requiring further evaluation.

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Correct Answer is ["B","D","E"]

Explanation

A. Explain that the child is likely to grow into her weight. This is incorrect because a BMI at the 85th percentile indicates that the child is overweight. Without intervention, the risk of continued excess weight gain and future obesity increases.
B. Obtain the child's 3-day diet history based on the mother's input. Assessing the child's dietary habits helps identify potential areas for improvement, such as reducing sugary drinks or increasing fruit and vegetable intake. Understanding the child’s nutrition is essential for developing a healthy eating plan.
C. Tell the mother that girls hit their growth spurt before boys so eating more is expected. While girls do experience growth spurts earlier than boys, this does not justify excessive weight gain. Encouraging healthy eating and physical activity is more appropriate than assuming the child will "grow out of it."
D. Inquire as to whether or not the school has a physical education program. School-based physical activity plays an important role in weight management. If the school lacks a structured program, additional strategies for physical activity should be explored.
E. Determine the child's usual physical activity pattern. Assessing the child’s activity level helps identify if sedentary behaviors (e.g., excessive screen time) are contributing to weight gain. Encouraging regular physical activity is a key part of managing childhood obesity.

A. Crohn's disease. B. Gastroesophageal reflux. C. Cholecystitis. D. Diverticulosis.

Correct Answer is A

Explanation

A. Crohn's disease. Crohn’s disease is a chronic inflammatory bowel disease that affects nutrient absorption, leading to malnutrition. It can cause diarrhea, abdominal pain, and intestinal damage, reducing the body's ability to absorb essential nutrients such as proteins, vitamins, and minerals. Clients may also have anorexia and weight loss due to inflammation and malabsorption.
B. Gastroesophageal reflux. Gastroesophageal reflux disease (GERD) can cause discomfort and lead to dietary modifications, but it does not directly cause severe malnutrition. Clients may avoid certain foods, but overall nutrient absorption remains intact.
C. Cholecystitis. Cholecystitis (inflammation of the gallbladder) primarily affects fat digestion. While clients may experience discomfort with fatty foods, it does not typically lead to widespread malnutrition.
D. Diverticulosis. Diverticulosis is usually asymptomatic and does not impair nutrient absorption. While dietary fiber intake is important to prevent complications like diverticulitis, this condition does not pose a high risk for malnutrition compared to Crohn’s disease.

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The nurse is visiting an older adult client who is homebound. Which finding about the client's nutritional status requires additional follow- up?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["B","D","E"]

Explanation

The nurse is assessing the nutritional status of a group of clients in a long term care facility. Which pathophysiological process poses the highest risk for malnutrition in this population?

Correct Answer is A

Explanation

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