The nurse is planning care for a group of clients and determines that the client most likely to experience malnutrition from a lack of digestive enzymes is the client with:
1. pancreatic disorder.
2. pernicious anemia.
3. the jaw wired closed.
4. a percutaneous endoscopic gastrostomy (PEG) tube.
Correct Answer: 1
Rationale 1: Many digestive enzymes are produced by the pancreas. A disorder of the pancreas may inhibit digestive enzymes and cause malnutrition.
Rationale 2: A client with pernicious anemia has a B12 deficiency.
Rationale 3: A client with the jaw wired closed is at risk for malnutrition due to the jaw's being wired, not from an enzyme deficiency.
Rationale 4: A client with a PEG tube will not be enzyme-deficient.
Global Rationale: Many digestive enzymes are produced by the pancreas. A disorder of the pancreas may inhibit digestive enzymes and cause malnutrition. A client with pernicious anemia has a B12 deficiency. A client with the jaw wired closed is at risk for malnutrition due to the jaw's being wired, not from an enzyme deficiency. A client with a PEG tube will not be enzyme-deficient.
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