A 21-year-old woman has been on a low-protein liquid diet for the ...

[Yi-Chen]

A 21-year-old woman has been on a low-protein liquid diet for the past 2 months. She has had adequate intake of calories and appears well nourished. After further assessment, what would the nurse expect to find?
 
  a. Poor skin turgor
  b. Decreased serum albumin
  c. Increased lymphocyte count
  d. Triceps skinfold less than standard

Question 2

The nurse is performing a nutritional assessment on an 80-year-old patient. The nurse knows that physiologic changes can directly affect the nutritional status of the older adult and include:
 
  a. Slowed gastrointestinal motility.
  b. Hyperstimulation of the salivary glands.
  c. Increased sensitivity to spicy and aromatic foods.
  d. Decreased gastrointestinal absorption causing esophageal reflux.

[kescobar@64]

Answer to Question 1

ANS: B
Kwashiorkor (protein malnutrition) is due to diets that may be high in calories but contain little or no protein (e.g., low-protein liquid diets, fad diets, and long-term use of dextrose-containing intravenous fluids). The serum albumin would be less than 3.5 g/dL.

Answer to Question 2

ANS: A
Normal physiologic changes in aging adults that affect nutritional status include slowed gastrointestinal motility, decreased gastrointestinal absorption, diminished olfactory and taste sensitivity, decreased saliva production, decreased visual acuity, and poor dentition.

[Yi-Chen]

TYSM

[Alyson.hiatt@yahoo.com]

Gracias!