Author Question: The nurse recognizes which of the following clients as being at greatest risk for a negative ... (Read 18 times)

Mimi · **on:** Jul 23, 2018

The nurse recognizes which of the following clients as being at greatest risk for a negative nitro-gen balance?

1. A 10-year-old with an infected laceration on the left thumb
2. A 75-year-old who fell and experienced a mild concussion
3. A 40-year-old who has partial-thickness burns over 15 of his body
4. A 19-year-old who has lost 70 pounds in 7 months as a result of dieting

Question 2

A nurse is discussing high-nutrient-density food selections with a client recovering from exten-sive partial-thickness burns. Which of the following statements by the client reflects the best un-derstanding of this dietary concept?

1. I'll snack on things like sugar-free pudding and Jello.
2. Fried chicken and potato salad are my favorite comfort foods.
3. My wife has a wonderful recipe for low-calorie vegetable dip.
4. It's a good thing that I really enjoy salads and whole wheat breads.

Laurenleakan · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: 3
Negative nitrogen balance occurs when the body loses more nitrogen than the body gains, for example, with infection, sepsis, burns, fever, starvation, head injury, and trauma. Although all these clients may be experiencing an increased nitrogen need for body repair, the burn client has the greatest need and so is at greatest risk for a negative nitrogen balance.

Answer to Question 2

ANS: 4
High-nutrient-density foods, such as fruits and vegetables, provide a large number of nutrients in relationship to kilocalories. Low-nutrient-density foods, such as alcohol or sugar, are high in kil-ocalories but are nutrient poor. The remaining options mention low-calorie and comfort food; they are not really discussing high-nutrient-density foods.