Question: A client with Crohn's disease is admitted to the hospital with a history of chronic, bloody diarrhea, weight loss, and signs of general malnutrition. The client has anemia, a low serum albumin level, and signs of negative nitrogen balance. The nurse concludes that the client's health status is related to a major deficiency of:
1. Iron
2. Protein
3. Vitamin C
4. Linoleic acid
Answer: 2
Rationale: Protein deficiency causes a low serum albumin level, which permits fluid shifts from the intravascular to the interstitial compartment, resulting in edema. Decreased protein also causes anemia; protein intake must be increased. Although a deficiency of iron will result in anemia, it will not cause the other adaptations. Vitamin C and linoleic acid are unrelated to these adaptations.
Clinical Area: Medical Surgical Nursing
Client Need: Physiological Adaptation
Cognitive Level: Analysis
Nursing Process: Analysis
This week's NCLEX exam practice question is brought to you by:
Nugent: Mosby's Review Questions for the NCLEX-RN Exam, 7th edition, Chapter 2 Pg 193 Question #32
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