The nurse is providing care to a client who is undernourished. What assessment finding does the nurse anticipate for this client?
1. Chronic inflammatory bowel disease
2. Eating disorders
3. History of HIV/AIDS
4. Loss of subcutaneous fat
Correct Answer: 4
Rationale 1: While this might be the cause of the undernutrition, this is not an assessment finding.
Rationale 2: While this might be the cause of the undernutrition, this is not an assessment finding.
Rationale 3: While this might be the cause of the undernutrition, this is not an assessment finding.
Rationale 4: There are many and varied reasons for insufficient intake, including age, chronic disease, alcoholism, inflammatory bowel disease, and eating disorders-all of which would be included while interviewing a client for history and physical. Assessment findings include generalized weakness, muscle wasting, and loss of subcutaneous fat.
Global Rationale: There are many and varied reasons for insufficient intake, including age, chronic disease, alcoholism, inflammatory bowel disease, and eating disorders–all of which would be included while interviewing a client for history and physical. Assessment findings include generalized weakness, muscle wasting, and loss of subcutaneous fat.
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