A patient may be at high nutritional risk if he or she a. is ...

[penza]

A patient may be at high nutritional risk if he or she
 
  a. is receiving a soft diet.
  b. has a serum albumin level of 2.5 g/dL.
  c. has been receiving a tube feeding for 1 week.
  d. has gained 5 pounds during the previous month.

Question 2

The client is complaining of a metallic taste in their mouth, muscle cramping, and itching skin. The client has been recently diagnosed with renal failure. Which of the following findings is expected by the nurse? (Select all that apply.)
 
  1. Complaints of malaise and fatigue
   2. Complaints of generalized weakness
   3. Increased blood urea nitrogen levels
   4. Decreased creatinine levels
   5. Increased serum amylase levels

[shailee]

Answer to Question 1

B
Serum albumin level between 2.4 and 2.9 mg/dL indicates moderate malnutrition; therefore a patient with a serum albumin level of 2.5 g/dL may be at high nutritional risk. Soft diets are al-tered in texture but are still nutritionally adequate. Tube feedings are also nutritionally adequate if administered correctly. Weight gain does not necessarily indicate nutritional risk.

Answer to Question 2

1, 2, 3

Rationale: This client is experiencing signs and symptoms of uremia associated with renal failure. Nausea, vomiting, and a decreased intake of protein often accompany these signs and symptoms. The client will complain of malaise, fatigue, weakness, and muscle cramping. Their blood urea nitrogen and creatinine levels will be increased. Amylase levels can increase with pancreatic disorders.

[penza]

Thanks

[shailee]

Welcome