A nurse in a provider's office is caring for a client.
Click to highlight the findings that indicate malnutrition. To deselect a finding, click on the finding again.
Nurses' Notes
Today.
Client presents to the office with their adult daughter. Daughter states the client's forgetfulness has increased. She states. "I often notice uneaten meals in the microwave when I come over to visit." Daughter also reports that the client fell 1 month ago and has a wound on their leg that won't heal. On assessment skin is rough and dry, lungs are clear bilaterally, abdomen is soft and concave, and edema noted to the face and lower extremities.
Vital Signs
Today
- Temperature 37.7° C (98.9° F)
- Heart rate 103/min
- Respiratory rate 16/min
- Blood pressure 102/68 mm Hg
- Weight 65.9 kg (145 lb)
uneaten meals
wound on their leg that won't heal
skin is rough and dry
edema noted to the face and lower extremities
Weight 65.9 kg (145 lb)
The Correct Answer is ["A","B","C","D"]
- Uneaten meals suggest that the client is not consuming the food provided, which can lead to inadequate intake of nutrients and calories, thus indicating possible malnutrition.
- A wound that won't heal can be a sign of malnutrition, as proper nutrition is essential for wound healing and maintenance of skin integrity.
- Rough and dry skin can be indicative of malnutrition, particularly if there is a deficiency in essential fatty acids and other nutrients that maintain skin health.
- Edema to the face and lower extremities can be a sign of protein-energy malnutrition, where the body does not get enough protein to maintain plasma oncotic pressure, leading to fluid accumulation in tissues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Omeprazole is a proton pump inhibitor used to reduce stomach acid and treat conditions such as ulcers and gastroesophageal reflux disease. It is not typically associated with an increased risk of wound dehiscence.
B. Prednisone is a corticosteroid that can impair wound healing and increase the risk of wound dehiscence, particularly in high doses or when used for prolonged periods.
C. Zolmitriptan is a medication used to treat migraine headaches and is not associated with an increased risk of wound dehiscence.
D. Verapamil is a calcium channel blocker used to treat hypertension and certain heart rhythm disorders. It is not typically associated with an increased risk of wound dehiscence.
Correct Answer is C
Explanation
A. Parkinson's disease and monoamine oxidase inhibitors (MAOIs) do not typically require a reduction in intake of high-calorie foods. In fact, maintaining adequate nutrition and calorie intake is important for individuals with Parkinson's disease.
B. Grapefruit is not typically contraindicated with monoamine oxidase inhibitors. However, it's important for the client to discuss any potential interactions between grapefruit and their specific medication with their healthcare provider.
C. Aged cheeses contain tyramine, a substance that can interact with MAOIs and lead to hypertensive crisis. Therefore, individuals taking MAOIs should avoid aged cheeses to prevent this interaction.
D. Maintaining a low-protein diet is not typically recommended for individuals with Parkinson's disease or those taking MAOIs. In fact, adequate protein intake is important for overall health and muscle function.
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