Which of the following clients has an identified factor that is ...

[CharlieWard]

Which of the following clients has an identified factor that is affecting the client's energy re-quirements? (Select all that apply.)
 
  1. A 27-year-old diagnosed anorexic client
  2. A 21-year-old college football quarterback
  3. A 73-year-old recovering from hip surgery
  4. A 39-year-old who is currently menstruating
  5. A 4-year-old with a temperature of 102.2 F rectally
  6. A 50-year-old diagnosed with chronic depression

Question 2

The nurse is delegating the feeding of an older adult client to ancillary personnel. Which of the following should the nurse include in the instructions as possible warning signs of dysphagia (difficulty swallowing)? (Select all that apply.)
 
  1. Delay in swallowing food
  2. Easily triggered gag reflex
  3. Absence of a gag reflex
  4. Uncoordinated speech
  5. Disinterest in eating
  6. Pocketing food

[spencer.martell]

Answer to Question 1

ANS: 1, 2, 3, 4, 5
Factors such as age, body mass, gender, fever, starvation, menstruation, illness, injury, infection, activity level, or thyroid function affect energy requirements. There is no direct connection be-tween depression and energy requirements.

Answer to Question 2

ANS: 1, 2, 3, 4, 6
Signs of dysphagia include the following: cough during eating; change in voice tone or quality after swallowing; abnormal movements of the mouth, tongue, or lips; and slow, weak, imprecise, or uncoordinated speech. Abnormal gag reflex, delayed swallowing, incomplete oral clearance or pocketing, regurgitation, pharyngeal pooling, delayed or absent trigger of swallow, and inability to speak consistently are other signs of dysphagia.