The nurse is using the DETERMINE nutrition screening tool to assess the nutritional status of an older client. Which findings indicate the nurse needs to assess further for nutritional deficiencies? Select all that apply.
1. The client is diagnosed with emphysema.
2. The client eats a can of green beans for dinner.
3. The client lives alone and does not have a vehicle.
4. The client has newly fitted permanent oral dentures.
5. The client is being treated for multiple conditions.
1. The client is diagnosed with emphysema.
2. The client eats a can of green beans for dinner.
3. The client lives alone and does not have a vehicle.
5. The client is being treated for multiple conditions.
Explanation: 1. Disease is a category in the DETERMINE nutrition screening tool. Pulmonary diseases often negatively alter a client's food intake.
2. Eating poorly or skipping meals indicates the need to assess further. The client who eats a can of vegetables for dinner is missing key nutrients and likely taking in too much sodium.
3. Reduced social contact is a category in the DETERMINE nutrition screening tool.
4. Tooth loss, mouth pain, and poorly fitting dentures can decrease nutrition intake. New dentures likely fit and work well.
5. Polypharmacy can cause decreased appetite, taste alterations, drowsiness, and gastrointestinal disturbances.
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