Nutrition Support Part 2 questions with correct answers

Which of the following is an example of a patient condition anticipated to manifest with a severe systemic inflammatory response? A. Anorexia nervosa with body mass index (BMI) of 15 B. Major depression with compromised dietary intake and 5% loss of body weight C. Homebound older adult with restricted access to food and 10% loss of body weight D. Thermal burn injury of second and third degrees covering 15% body surface area CORRECT ANSWER D. The burn injury is significant and will be associated with severe systemic inflammatory response. The diagnosis, clinical signs, physical examination data, and laboratory indicators for such a patient will support this conclusion. The other answers describe states of starvation that are not likely to be associated with severe systemic inflammatory response. A physician informs you that a patient has a serum albumin of 2.8 g/dL and prealbumin of 14 mg/dL and asks whether these laboratory findings mean the patient is malnourished. What is the most appropriate response? A. The patient's protein intake is inadequate, and the patient should receive prompt nutrition support. B. Together, these markers indicate that the patient has moderate protein-energy malnutrition. C. Consideration of medical history, clinical diagnosis, and laboratory signs of the inflammatory response would help you interpret these findings. D. For most hospitalized patients, albumin and prealbumin have excellent sensitivity and specificity to identify malnutrition. CORRECT ANSWER C. By themselves, these proteins should be interpreted with caution because they lack specificity and sensitivity as indicators of nutrition status. Both albumin and prealbumin may be reduced by the systemic response to injury, disease, or inflammation. Patients with low albumin or prealbumin levels may or may not be malnourished. The patient's medical history, clinical diagnosis, and laboratory signs of the inflammatory response can help clarify wh