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c. Specific lack of protein Kwashiorkor is a lack of protein when total calories are adequate. Marasmus is a caloric malnutrition. A nurse is reviewing laboratory values for several clients. Which value causes the nurse to conduct nutritional assessments as a priority? a. Albumin: 3.5 g/dL b. Cholesterol: 142 mg/dL c. Hemoglobin: 9.8 mg/dL d. Prealbumin: 28 mg/dL b. Cholesterol: 142 mg/dL A cholesterol level below 160 mg/dL is a possible indicator of malnutrition so this client would ...

ANS: C Motivation is a key factor in successful weight loss and a short-term outcome provides a higher motivation. A 22-year-old patient is unlikely to be motivated by future health problems. Telling a patient that the initial weight loss is water will be discouraging, although this may be correct. Changing lifestyle habits is necessary, but this process occurs over time and discussing this is not likely to motivate the patient. After the nurse teaches a patient about the recommended amoun...

After the nurse teaches a patient about the recommended amounts of foods from animal and plant sources, which menu selections indicate that the initial instructions about diet have been understood? A) 3 oz of lean beef, 2 oz of low-fat cheese, and a tomato slice B) 3 oz of roasted pork, a cup of corn, and a cup of carrot sticks C) Cup of tossed salad and nonfat dressing topped with a chicken breast D) Half cup of tuna mixed with nonfat mayonnaise and a half cup of celery B Which nursing ...

chairs for eating. A client has undergone bariatric surgery. Which nursing intervention is the highest priority in preventing dehydration in this client? Providing six small feedings daily and offering fluids frequently The nursing intervention with the highest priority to prevent dehydration in a postoperative bariatric client is small daily feedings and adequate fluids. This will prevent the development of dehydration in this client.Ambulation will prevent pulmonary embolism and other ci...

A client is in the family practice clinic. Today the client weighs 186.4 pounds (84.7 kg). Six months ago the client weighed 211.8 pounds (96.2 kg). What action by the nurse is best? a. Ask the client if the weight loss was intentional. b. Determine if there are food allergies or intolerances. c. Perform a comprehensive nutritional assessment. d. Perform a rapid bedside blood glucose test. a. Ask the client if the weight loss was intentional. A nursing student is studying nutritional pro...

the nurse has placed a nasogastric tube for a patient requiring enteral feeding. The nurse validates placement through pH measurement and using clinical standards should be used to confirm placement prior to using the tube. a: auscultation b: the presence of bowel sounds c: x-ray d: patient affirmation c the nurse is instructing the patient in selecting food items that contain common sources of protein in the diet. Which of the following choice can be included in the teaching as examp

Cataract extraction, facial plastic surgery and tooth extraction. Classification type (elective surgery) Performed on basis of patient's choice; is not essential and is not always necessary for health. Bunionectomy; facial plastic surgery; hernia repair; breast reconstruction Classification type (urgent surgery) Necessary for patient's health; often prevents development of additional problems (e.g., tissue destruction or impaired organ function); not necessarily emergency Excision of c...

The post-anesthesia care unit nurse receives report on a client after abdominal surgery. What sounds would the nurse expect to hear when auscultating the bowel? 1. Absent bowel sounds 2. Borborygmi sounds 3. High-pitched and gurgling sounds 4. Swishing or buzzing sounds 1 A healthy 50-year-old client asks the nurse, "What must I do in preparation for my screening colonoscopy?" Which statements by the nurse correctly answer the client's question? Select all that apply. 1. "No food o...

B Behavior modification programs focus on how and when the person eats and deemphasize aspects such as calorie counting. Nonfood rewards are recommended for achievement of weight-loss goals. Patients are often taught to restrict eating to designated meals when using behavior modification. A few months after bariatric surgery, a 56-year-old man tells the nurse, My skin is hanging in folds. I think I need cosmetic surgery. Which response by the nurse is most appropriate? A) The important th...

A client with cirrhosis of the liver asks the registered nurse (RN) to explain how varicose veins can occur in the esophagus. Which statement should the RN provide to teach the client about the physiological etiology? Increased portal pressure causes blood flow through liver to be shunted to the esophageal vessels. Cirrhotic and fibrosis liver damage causes obstructed blood flow through portal vessels to the liver which increases the portal pressure causing the blood flow through the liver...