The nurse receives the report stating that the client, who is 5 feet tall, has a nutritional deficit. Which physical clinical indicator consistent with a nutritional deficit does the nurse expect to observe in the client?
1. Long, shiny hair
2. Pale conjunctivae
3. Pink oral mucosa
4. Weight 99 pounds
2
2. Pale conjunctivae are a clinical indicator of a nutritional deficit consistent with a low serum hemoglobin or hematocrit. The hematological deficiencies result in a low oxygen-carrying capacity and a deficient number of red blood cells in the blood. This decreases the ability of the erythrocytes to oxygenate the tissues adequately thereby resulting in pale mucous membranes. Conjunctivae should appear reddish pink.
1, 3, and 4. The remaining options are clinical indicators of a client who consumes an adequate diet. A female client who is 5 feet tall should weigh 100 pounds.
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