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Chapter 29: Problem 25

When assessing the daily diet of a client with a pressure ulcer, how much protein should the nurse consider to be an adequate intake? a. \(0.5-1 \mathrm{~g} / \mathrm{kg}\) body weight/day b. \(1-2 \mathrm{~g} / \mathrm{kg}\) body weight/day c. \(1.5-2 \mathrm{~g} / \mathrm{kg}\) body weight/day d. \(2-2.5 \mathrm{~g} / \mathrm{kg}\) body weight/day

Short Answer

Expert verified
c. 1.5-2 \text{ g/kg body weight/day}

Step by step solution

01

Understand the Question

Determine how much protein intake is recommended for a client with a pressure ulcer.
02

Evaluate the Options

Consider each given option to see which one aligns with the protein needs for pressure ulcer patients.
03

Research Recommended Protein Intake

According to nutritional guidelines, clients with pressure ulcers benefit from increased protein intake to promote healing. This is typically within the range of 1.5 to 2 grams per kilogram of body weight per day.
04

Match with Given Options

Compare the researched adequate intake with the provided choices to find the best match.

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Key Concepts

These are the key concepts you need to understand to accurately answer the question.

Protein Intake Recommendations
When dealing with pressure ulcers, protein is essential for healing. Protein supports tissue repair and immune function. For individuals with pressure ulcers, the protein requirement increases significantly. According to nutritional guidelines, a typical recommendation is between 1.5 to 2 grams of protein per kilogram of body weight per day.
This helps in faster recovery and better overall health.
Ensuring the proper protein intake involves:
  • Assessing the patient's current protein consumption.
  • Calculating the required protein based on body weight.
  • Incorporating high-protein foods like eggs, chicken, fish, and beans into meals.
Adequate protein intake is crucial and should be monitored regularly.
Dietary Assessment
Before implementing any nutritional plan, it's vital to perform a thorough dietary assessment. This involves several key steps:
  • Reviewing the patient's current diet and nutrition intake.
  • Identifying any deficiencies or excesses in nutrient consumption.
  • Evaluating the patient鈥檚 ability to consume and digest certain foods.
  • Considering their medical history and any diet-related restrictions.
Understanding these factors helps in crafting a personalized and effective dietary plan that met all nutritional needs, including protein for pressure ulcer management.
Nutritional Guidelines
Nutritional guidelines offer a roadmap for ensuring optimal health and managing conditions like pressure ulcers. These guidelines are based on extensive research and are tailored to different health needs. For pressure ulcers, apart from increased protein intake, guidelines may recommend:
  • Ensuring sufficient calorie intake to avoid malnutrition.
  • Maintaining adequate hydration for skin health.
  • Incorporating vitamins and minerals like Vitamin C and Zinc for wound healing.
  • Avoiding foods high in sugar and unhealthy fats that can impair healing.
Adhering to these guidelines can significantly improve patient outcomes and promote quicker recovery.

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Most popular questions from this chapter

An elderly client at risk for impaired skin integrity is to have moisturizer applied to her skin. When delegating this task to a nursing assistant, which direction should be given? a. Dry skin thoroughly and then apply generous amounts of moisturizer b. Do not rub in moisturizer that is applied to skin fold areas c. Apply moisturizer only to areas of the skin that appear chapped or flaky d. Apply moisturizer while skin is still moist from bathing

vAssessment of a newly admitted client shows a full-thickness skin loss with an ulcer that looks like a deep crater and clear undermining of adjacent tissue. This finding would be documented as which stage of pressure ulcer? a. I b. II c. III d. IV

Which is an appropriate expected outcome for a client with postherpetic neuralgia? a. Client states pain is 2 or less on a scale from 1 to 10 b. Skin lesions have disappeared c. Antibody titers are positive for varicella d. Affected area is limited to one dermatone.

Which order would the nurse expect to be included in the plan of care for a client with herpes zoster? a. Administer ibuprofen \(800 \mathrm{mg} \mathrm{q} 4\) hours for pain b. Prevent contact with persons who have never had chickenpox c. Keep affected area tightly covered with a moisturepreserving dressing d. Monitor for change in respiratory status every 4 hours

A client with psoriasis who is to begin PUVA therapy calls to verify when the ordered psoralen is to be taken. Which is the appropriate answer to be given? a. At bedtime, the night before treatment b. With breakfast, on the day of treatment c. One and a half to two hours before treatment d. Immediately following treatment
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