If a patient has very low levels of serum visceral proteins and ...

[abern]

If a patient has very low levels of serum visceral proteins and poor wound healing but does not look overtly malnourished, they are likely to have
 
  a. hyperglycemia.
  b. refeeding syndrome.
  c. kwashiorkor.
  d. marasmus.

Question 2

The nurse recognizes that a client has an increased risk of developing cancer of the colon based on a medical history including:
 
  1. Poor dental hygiene.
   2. Long-term consumption of soy.
   3. Heavy consumption of alcohol.
   4. Diet high in fat.

[zoeyesther]

Answer to Question 1

C
Low serum levels of visceral proteins and poor wound healing in a patient with normal fat and somatic protein stores are signs of kwashiorkor, an acute form of protein-energy malnutrition. Marasmus refers to a more chronic form of protein-energy malnutrition in which muscle and fat stores are depleted but visceral protein levels remain normal. Hyperglycemia would not cause low serum levels of visceral proteins, although it may contribute to poor wound healing and risk of infection. Symptoms of refeeding syndrome include malabsorption, cardiac insufficiency, congestive heart failure, respiratory distress, convulsions, and coma.

Answer to Question 2

4

Rationale: An increase in fat intake is associated with cancer of the colon, prostate, lung, and endometrium. Limited studies have identified a potential link between excess soy consumption and the development of breast cancer in women who have elevated risk factors. Poor dental hygiene and soy consumption do not affect the development of colon cancer. Heavy alcohol consumption is associated with cancer of the mouth, esophagus, pharynx, larynx, liver, and breast.