The nurse reviews the medical histories for a group of clients. Which client should the nurse suggest meet with a dietician to manage protein needs?
a. Middle-aged male client who is overweight
b. Adolescent client recovering from pneumonia
c. Older client who lives alone on a limited income
d. Young adult client recovering from a fractured leg
c. Older client who lives alone on a limited income
Recommendations for protein intake in older adults are based on nitrogen balance studies in young adults and that muscle loss in the older adult, called sarcopenia, is not prevented with the recommended intake of protein because of a blunted response to protein synthesis that occurs with age. The client should meet with the dietitian to discuss protein needs to prevent the development of sarcopenia. An overweight client does not necessarily need assistance with protein needs, nor does an adolescent recovering from pneumonia. The young adult who has a fractured leg will have increased protein needs for healing, but should not need a dietician to assist with planning for that.
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