Author Question: If staff are concerned about whether a patient in an acute-care or long-term care facility is eating ... (Read 193 times)

asan beg · **on:** Aug 2, 2018

If staff are concerned about whether a patient in an acute-care or long-term care facility is eating enough, they may conduct a

a. diet history.
b. kcalorie count.
c. 24-hour diet recall.
d. menu analysis.

Question 2

The nurse caring for Mrs. L, a 72-year-old client admitted to the hospital with acute renal failure, will have to monitor her closely for:

1. Increased glucose values.
2. Declines in Blood Urea Nitrogen (BUN) values.
3. Increases in albumin values.
4. Declines in serum creatinine values.

matt · **Reply #1 on:** Aug 2, 2018

Answer to Question 1

B
If staff are concerned about the adequacy of a patient's diet in an acute-care or long-term care facility, they may conduct a kcalorie count to determine what the patient is actually eating. A diet history depends on the patient's recall and does not give a quantitative assessment of food intake. A 24-hour diet recall also depends on the patient's recall and only shows what the patient ate in the previous 24 hours which may not be representative of their usual food intake. Menu analysis shows what is available to the patient, but does not measure what the patient actually ate.

Answer to Question 2

1

Rationale: Clients with acute renal failure should be monitored for glucose intolerance resulting from insulin resistance. Serum levels of both BUN and serum creatinine increase during acute and chronic renal failure. Albumin levels decline due to fat catabolism.