NR 228: Edapt: Nursing Application: Dietary
Proteins
After abdominal surgery, a client with protein calorie malnutrition is receiving parenteral nutrition
(PN). Which is the best indicator that the client is receiving adequate nutrition? - ANS - Surgical
incision is healing normally.
An adolescent client with protein deficiency asks the nurse how they can increase their protein
intake while remaining on a plant-based diet. What is the best response by the nurse? - ANS -
"Eat a variety of foods through the day."
Based on the assessment data, the nurse has narrowed Kaylee's problems to two. Using a
nursing diagnosis text, select the highest priority nursing diagnosis the nurse should select
(center column). Next select the conditions present in Kaylee's EHR that contributed to her
current health status (right column). Finally, select the two specific items that support the
selected nursing diagnosis (left column). - ANS - Evidence Supporting Hypothesis: Inability to
concentrate, low serum albumin
Hypothesized Nursing Diagnosis: Imbalanced nutrition: less than body requirement
Conditions contributing to Hypothesis: vegan diet, first time living away from home
During her follow-up visit, Kaylee shares with the nurse that she found an online community of
college-aged vegans who share information on which campus cafeterias offer the best
plant-based food options, where to shop for low-cost vegan snacks, and how to balance
schoolwork, social activities, and self-care. Which statement by Kaylee demonstrates that she
needs further education? - ANS - "Someone told me that once I get my weight back up, I will
have the energy to sleep only four hours per day, giving me more time for school-work and
meeting people."
Kaylee, a 19-year-old college student who is living away from home for the first time has been
feeling tired and having trouble focusing for the last few weeks and goes to the campus clinic to
see the nurse. Which findings lead the nurse to believe the student is experiencing protein
malnutrition? (SATA) - ANS - Fatigue, trouble focusing, lost 13 pounds in the last month,
recently began eating vegan, T 101.1, sinus infection, sleeping more, has trouble focusing
during class and when studying.
Linda follows a vegan diet, her body will have limited access to zinc and ______ - ANS - omega
3 fatty acids
Linda is back in the clinic for a follow up visit. She stated to the nurse that she started on a
vegan diet several months ago. The nurse will assess the client for which condition? - ANS -
Anemia
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