The nurse is preparing to assess the general appearance of the hospitalized client. Which of the following statements by the client are expected if the client is experiencing undernutrition? Standard Text: Select all that apply
1. "It seems like I get catch every bug that comes along. I can't seem to stay well.".
2. "This wound that I've had for the last 3 months on my leg won't heal.".
3. "I have gained 5 pounds over the last week and my ankles and feet are swollen.".
4. "My nails are so brittle.".
5. "I know my blood pressure has been up because I've been experiencing headaches in the morning, just like last time.".
1,2,4
Rationale 1: "It seems like I get catch every bug that comes along. I can't seem to stay well.". Undernutrition can lead to a compromised immune status.
Rationale 2: "This wound that I've had for the last 3 months on my leg won't heal.". Undernutrition can lead to poor wound healing.
Rationale 3: "I have gained 5 pounds over the last week and my ankles and feet are swollen.". Edema in the feet and ankles along with weight gain is often associated with a poor cardiovascular status or renal insufficiency. These types of signs are not typically associated with undernutrition.
Rationale 4: "My nails are so brittle.". Undernutrition can lead to the development of brittle nails and hair.
Rationale 5: "I know my blood pressure has been up because I've been experiencing headaches in the morning, just like last time.". The client with hypertension can experience headaches in the morning. Hypertension is not typically associated with undernutrition.
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