Origin: Chapter 1- Nutrition in Nursing, 1 Chapter: 01 Client Needs: D1 Cognitive Level: Knowledge/Remember Difficulty: Easy 1. The nurse is doing admission assessments on four new clients. Mrs. S is a postoperative client. Mrs. X is an 84-year-old who lives alone and tries to eat a heart-healthy diet. Mr. Y was admitted from a long-term care facility because of muscle wasting and swollen neck glands. Mr. Z is a 35-year-old who is a postoperative hernia client. Which client would be referred to the dietitian because of suspected protein–energy malnutrition? A) All of the clients B) The moderate- to high-risk clients with suspected or confirmed protein–energy malnutrition C) The postoperative critical care clients D) The clients who are very young or very old with nutritional deficiencies Ans: B Feedback: In the clinical setting, nutritional assessments focus on moderate- to high-risk clients with suspected or confirmed protein–energy malnutrition. The other answers are incorrect because not all clients are referred for nutritional assessments by the dietitian, no postoperative critical care clients were admitted, and none of the clients were identified as having nutritional deficiencies. Origin: Chapter 1- Nutrition in Nursing, 2 Chapter: 01 Client Needs: D1 Cognitive Level: Knowledge/Remember Difficulty: Easy 2. While doing admission assessments, the nurse finds that Mrs. S does not drink; Mrs. X enjoys a glass of wine at supper and bedtime; Mr. Y has been drinking at least a six-pack of beer every day for the past 20 years and has been ordered by his doctor; and Mr. Z has a cocktail when he goes out to dinner, which is about once a month. Which clients would be considered at nutritional risk? A) Mrs. X and Mr. Z C) Mrs. X and Mr. Y B) Mrs. S and Mr. Y D) Mrs. S and Mr. Z Ans: C Feedback: Risk begins at more than one drink daily for women and more than two drinks daily for men. The other answers are incorrect because Mrs. S and Mr. Z do not fit the criteria for being at nutritional risk due to alcohol consumption.
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