The nurse admits a client to the medical-surgical unit. After ...

[ghost!]

The nurse admits a client to the medical-surgical unit. After completing a nutritional assessment, the nurse notes that the client has a deficiency of protein and overall caloric intake. Which finding supports this conclusion by the nurse?
 
  Select all that apply.
  1. Loss of fat.
  2. Muscle wasting.
  3. Hyporeflexia.
  4. Spoon nails.
  5. Ataxia.

Question 2

The nurse is interviewing a young adult client who is 14 weeks pregnant and seeking prenatal care.
 
  The client tells the nurse that she likes to eat ice and occasionally eats dirt. Based on this data, which laboratory study does the nurse anticipate will be prescribed by the healthcare provider?
  1. Folate level.
  2. Calcium levels.
  3. Plasma lead level.
  4. Hair analysis.

[Carissamariew]

Answer to Question 1

Correct Answer: 1, 2

A series of vitamins make up the vitamin B complex. These vitamins are found in meat products and whole grains. A lack of caloric intake and protein deficiency is associated with a loss of fat. Protein deficiencies are also associated with muscle wasting. Spoon nails are seen with iron deficiencies. Thiamine is also known as vitamin B1. It is responsible for nervous system functioning. Thiamine deficiency is associated with hyporeflexia. Vitamin B12 is also referred to as Cobalamin. Vitamin B12 deficiencies are associated with ataxia.

Answer to Question 2

Correct Answer: 3

PICA refers to the craving and ingestion of nonfood substances. Lead levels should be obtained in pregnant women reporting PICA because the soil eaten can be a source of environmental contamination. Folate and calcium levels may not be affected. Hair analysis may yield information about other issues but is not appropriate given the above scenario.

[ghost!]

Excellent

[helenmarkerine]

TYSM