Chapter 3

Health Diets Case Study

Answers

1. Correct answer: A While all the findings should be noted, the serum albumin of 2.8 g/dL is the most critical.  This value indicates significant hypoalbuminemia, a key indicator of malnutrition and protein deficiency, and requires prompt medical attention and intervention.
2. Correct answer: A Malnutrition, especially in older adults, significantly increases the risk of falls due to muscle weakness, fatigue, and impaired balance. While the other options might be relevant, falls present the most immediate and significant threat to Mrs. Khan’s safety.
3. Correct answer: A  Given Mrs. Khan’s malnutrition and the goal of improving her nutritional status, accurately monitoring her intake and output is crucial to assess the effectiveness of interventions and guide further actions.
4. Correct answer: B and C Mrs. Khan’s low serum albumin (2.8 g/dL) and low hemoglobin (10.6 g/dL) are consistent with iron deficiency anemia and malnutrition.  Albumin, a protein synthesized in the liver, is a good indicator of nutritional status, and low hemoglobin suggests anemia, which can be a consequence of poor nutrition.
5. Correct answer: A An increase in meal consumption signifies improvement in Mrs. Khan’s nutritional intake, directly reflecting the effectiveness of the interventions implemented.
6. Correct answer: C Assisting with ambulation is within the scope of practice for a nursing assistant and can be safely delegated. Assessment, education, and evaluation, however, require the expertise and knowledge of a registered nurse and cannot be delegated.

Please find answers to the Learning Activity interactive elements within the element.