Which assessment data indicates to the nurse that an older patient is experiencing undernutrition?
1. Body mass index (BMI) of 20
2. Unintentional 3% weight loss over a month
3. Denial of taking a multiple vitamin supplement
4. Serum albumin slightly below normal, prealbumin and transferrin within normal limits
1
Rationale: A body mass index (BMI) less than 22 in the older person is predictive of undernutrition.
You might also like to view...
A father calls emergency medical services (EMS) for his 1-year-old infant who was vomiting and then experienced a series of seizures. Upon admission to the hospital, the infant was listless and irritable, had bradycardia, and had periods of apnea
The infant has now lapsed into a coma. Which of the following conditions will the nurse and the health care team members suspect and most want to rule out? a. spinal meningitis c. fever-induced seizures b. encephalitis d. shaken baby syndrome (SBS)
A nurse interviews an older adult with pulmonary disease. The client states, "I worked hard all my life in the shipyard, I provided for my family. I never smoked, why did I get this disease?" Which response by the nurse is best?
A) "It is a good thing that you never smoked." B) "Pulmonary disease can happen to anyone." C) "The work in the shipyard put you at risk." D) "You feel like you are being punished…"
Which of the following statements made by a client experiencing chronic kidney dysfunction re-flects the best understanding of the most common physiological effect this disorder can have on the body?
1. "I'm tested regularly for anemia." 2. "My diet is restricted because of this problem." 3. "Diabetes runs in my family, so I get tested regularly." 4. "I can get really depressed if I think about this too much."
A patient with chronic acute otitis media infections is having tympanostomy tubes placed. What should post-tube placement instructions for this patient include?
A. Avoid getting any water into the ears. B. Make sure showers are completed within 10 minutes. C. Wash hair only with warm water. D. Avoid gum chewing.