A client reports following the food pyramid to guide nutritional ...

[gbarreiro]

A client reports following the food pyramid to guide nutritional intake. How should the nurse evaluate this information?
 
  1. Because this food pyramid is produced by the U.S. Department of Agriculture, the client is likely consuming necessary levels of all essential nutrients.
  2. The food pyramid is most useful when applied to the nutritional intake of children.
  3. The food pyramid is not very useful because it does not take fluid intake and combination foods into consideration.
  4. Following the appropriate food pyramid is helpful, but there are additional factors to consider in a balanced diet.

Question 2

The client's lab studies reveal a normal serum albumin with a prealbumin of 10. How should the nurse interpret the significance of these readings?
 
  1. The client has had recent protein malnutrition.
  2. The client is now relatively well nourished with malnutrition 6 to 8 months ago.
  3. The client is at risk for development of malabsorption syndromes.
  4. Carbohydrate malnutrition has occurred over the last 6 months.

[amy.lauersdorf90]

Answer to Question 1

Correct Answer: 4
Rationale 1: Overall, the food pyramid is a good guide, but unless the client eats a variety of foods from each group, some recommended nutrient levels may be missed.
Rationale 2: Food pyramids are available for different age groups, including children, middle adults, and older adults.
Rationale 3: The food pyramid does not take fluid intake and activity level into consideration.
Rationale 4: Because there are numerous food pyramids, the client should be following the appropriate one, and other factors such as fluid intake and activity level should be considered in planning a balanced diet.

Answer to Question 2

Correct Answer: 1
Rationale 1: Prealbumin is the most responsive serum protein to rapid changes in nutritional status. A level below 11 indicates that aggressive nutritional intervention is necessary.
Rationale 2: Serum albumin is the slowest of the serum proteins to reflect changes, so abnormalities indicate prolonged protein malnutrition.
Rationale 3: There is no specific link to malabsorption syndromes.
Rationale 4: These tests are indicators of protein malnutrition, not carbohydrate malnutrition.

[gbarreiro]

Both answers were spot on, thank you once again

[amy.lauersdorf90]

Great! Please up vote