The nurse admits the adult client who has unexplained weight gain. Which client data warrants further investigation?

Question

1. One bowel movement daily is normal.
2. Postprandial stomach rumbling is loud.
3. Abdominal girth increases on 1200 kcal/day.
4. Stretch marks do not fade with applied lotion.

Answer 1

3
3. Increasing abdominal girth, 1200 kcal/day, and unexplained weight gain warrants further investigation because these data are inconsistent. The client should not gain weight on 1200 kilocalories a day because it is a low-calorie diet for an adult and provides insufficient calories for weight gain. The nurse performs additional client assessments to provide more data to form a meaningful group of data. Increasing ab-dominal girth with unexplained weight gain is consistent with fluid retention, tumor growth, and pregnancy.
1 and 2. One daily bowel movement and postprandial stomach rumblings are within normal limits.
4. Stretch marks occur from rapid tissue expansion occurring too quickly for the skin to stretch smoothly into place.