The nurse is teaching an extended family about metabolic disorders. Which of the following persons in this family is at highest risk for malnutrition as a result of hypermetabolism?
1. A client who has dysphagia
2. A client with osteoporosis
3. A client with chronic obstructive pulmonary disease
4. A client who is a vegetarian
3. A client with chronic obstructive pulmonary disease
Rationale:
The client with chronic obstructive pulmonary disease often is malnourished because of the increased caloric need associated with breathing efforts. The client with dysphagia is at risk for malnutrition but because of the inability to eat adequate amounts of foods. Clients with osteoporosis do not have higher metabolic rates. There is no connection between hypermetabolism and vegetarianism.
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