The nurse has determined that a client with periodontitis is not consuming an adequate intake to meet nutritional requirements. Which etiology should the nurse identify for this problem?

Nausea.

Altered taste sensation.

Fatigue.

Pain when eating.

Answer and Explanation

The Correct Answer is D

A.   Nausea. While nausea can affect appetite and food intake, it is not specifically linked to periodontitis. It is more commonly associated with gastrointestinal issues or other systemic conditions.
B.   Altered taste sensation. Altered taste can impact food intake, but it is not a primary issue in periodontitis. Periodontitis primarily affects the gums and supporting structures of the teeth.
C.   Fatigue. Fatigue can reduce overall energy levels and appetite, but it is not directly related to the localized effects of periodontitis.
D.   Pain when eating. Periodontitis causes inflammation and pain in the gums, which can make eating difficult and uncomfortable. This pain is the most direct and relevant reason for
inadequate nutritional intake in a client with periodontitis.

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Correct Answer is C

Explanation

A. Whole wheat cereal with milk, bacon, and coffee is incorrect. While it contains some protein (milk and bacon), it lacks adequate protein and calorie density needed for burn healing.
B. Pancakes, bacon, fruit, and milk is incorrect. While this meal provides carbohydrates and some protein, it does not offer enough protein for optimal wound healing.
C. Scrambled eggs, sausage, toast, and orange juice is correct. Burn patients require high-protein and high-calorie meals to support tissue repair and metabolic demands. Eggs and sausage provide high-quality protein, while toast and juice add necessary carbohydrates for energy.
D. A bowl of hot oatmeal with milk, fruit, and lemon tea is incorrect. Although this meal has carbohydrates and some protein, it is not protein-dense enough for burn recovery.

A. Urinary ketones. B. Serum protein. C. Serum osmolarity. D. Capillary glucose.

Correct Answer is D

Explanation

A. Urinary ketones are incorrect. Urinary ketones are more relevant in clients with diabetes or starvation states, but monitoring capillary glucose is more important in clients on TPN, as they may experience fluctuations in blood sugar levels.
B. Serum protein is incorrect. While serum protein is important for assessing nutritional status, capillary glucose is more critical for monitoring during TPN administration.
C. Serum osmolarity is incorrect. Serum osmolarity is important to assess fluid and electrolyte balance, but capillary glucose is more frequently monitored due to the risk of hyperglycemia in TPN patients.
D. Capillary glucose is correct. TPN contains high levels of glucose, and monitoring capillary glucose is critical to detect hyperglycemia and adjust the infusion rate or insulin therapy accordingly.

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The nurse has determined that a client with periodontitis is not consuming an adequate intake to meet nutritional requirements. Which etiology should the nurse identify for this problem?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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