A nurse is assessing an older adult's nutritional status. The nurse understands that which of the following is the most important indicator for a potential nutritional deficit?
Decreased serum albumin levels
Decreased vitamin D levels
Unintentional weight loss,
Anorexia lasting more than 24 hours
The Correct Answer is C
A. Decreased serum albumin levels.
Explanation: Decreased serum albumin levels can be an indicator of poor nutritional status, but they are not as immediate or easily observed as unintentional weight loss.
B. Decreased vitamin D levels.
Explanation: Decreased vitamin D levels may indicate a specific nutrient deficiency but may not capture the overall nutritional status comprehensively.
C. Unintentional weight loss.
Explanation: Unintentional weight loss is a significant indicator of potential nutritional deficits and can be associated with underlying health issues. It can lead to deficiencies in essential nutrients, negatively impacting an individual's overall health and well-being. Weight loss should prompt further assessment and intervention to identify the underlying causes and address nutritional needs
D. Anorexia lasting more than 24 hours.
Explanation: Anorexia (loss of appetite) lasting more than 24 hours may contribute to inadequate nutrient intake, but it is not as direct an indicator as unintentional weight loss, which reflects changes in body composition and overall nutritional status.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
A. Making refreshment stations readily available
Explanation: Making refreshment stations readily available can encourage individuals with dementia to access snacks and beverages independently. This can help ensure a consistent intake of calories and nutrients throughout the day.
B. Caloric supplements with the meals
Explanation: Caloric supplements can provide additional nutrients and energy, especially if the client has difficulty consuming an adequate amount of food during meals. Consultation with a healthcare professional is recommended to determine the appropriate type and amount of supplements.
C. Providing feeding assistance
Explanation: Offering feeding assistance, such as help with cutting food into manageable pieces or providing cueing and encouragement during meals, can support individuals with dementia in maintaining proper nutrition.
D. Optimal social supports
Explanation: Optimal social supports, including family members, caregivers, or support groups, can play a crucial role in monitoring the nutritional status of individuals with dementia. Social interactions during meals can positively impact eating behaviors, and caregivers can provide assistance and encouragement.
Correct Answer is A
Explanation
A. This response provides the family member with accurate information about the limited effectiveness of drugs in improving appetite and weight gain, along with the potential for serious side effects. It promotes informed decision-making.
B. Stating that there are no drugs that impact appetite or weight gain is not entirely accurate. Some drugs may have an impact, but the effectiveness varies, and they often come with potential side effects.
C. Blanket's statements that these drugs are not permitted in long-term care facilities are not accurate. The use of medications should be based on individual assessment and treatment plans.
D. Saying "Yes, there are some very effective drugs out there. Your mother should be on one of them" is not an appropriate response. It oversimplifies the situation and may not reflect the individualized approach needed in assessing and addressing nutritional concerns.
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