An elderly patient, admitted with malnutrition, begins to demonstrate signs of pneumonia. The nurse realizes this additional health problem can be because of

1. a lack of sufficient nutrients to support the normal functioning of the patient's immune system.
2. a deficiency of vitamin C.
3. a deficiency of thiamine.
4. insufficient fluid intake.


1

Rationale: Malnutrition affects the immune system because calories and protein are needed to form and maintain the T cells and immunoglobulins. Vitamins A, E, pyridoxine, folic acid, and pantothenic acid and not vitamin C or thiamine, affect the function of both T cells and B cells. An insufficient fluid intake could exacerbate the symptoms of pneumonia but not cause the illness.

Nursing

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