Most important question on nutrition?

Can you break down the rationales for me?

my answer would be to increase protein intake. You can't reduce caloric intake because the client needs nutrition and energy to perform ADL. Then you cant reduce fluid intake, it might lead to degydration. and also elderly usually have poor skin turgor due to aging. Then since he has limited income, he can increase protein intake such as beans which are not expensive. Taking vitamins is ok but the client has limited income and fruits are expensive.

I selected vitamins. Due to an imbalanced diet. I know that protein is needed, but also fats so I thought protein would be incomplete though most people do get enough fat. Any suggestions on how I distinguish vitamin from protein answer.

Should increase protein Older clients need an increase in protein to improve immune function and muscle wasting due to aging. plus a balanced diet that include starch vegetables protein and encourage fluids Thirst center is depressed . A decrease in fluid NO,Increase carbohydrates NO Hope this help

We can't decrease caloric intake because we don't how much calories the client is consuming I tossed that on out first. Vitamin which one that's too broad

Increase protein intake so that muscle mass can be maintain

i was told by my school instructor way back that sometimes we don't need to over analyze the question. I think for elderly protein should be increased because they are needed in production of enzymes and neurotransmitters.

I dont really know the in depth difference between protein and vitamins. But i know vitamins could be water soluble or fat soluble. So if you increase vitamins that are fat soluble, it means increasing intake of fatty food too which is not good for elderly because they are prone to HPN or other cardiac problems.

An older client comes to the outpatient clinic for a routine health screening. The nurse learns the client is a retired teacher who lives alone on a limited income. A history indicates the client drinks about 1,500 mL a day and the client’s diet consists primarily of starches. It is MOST important for the nurse to encourage the client to take which of the following actions?

[TABLE=class: interaction]

[TR=class: answerChoiceRow]

[TD][/TD]

[TD]1.[/TD]

[TD=class: choiceContent correctanswerhighlight1] Increase protein intake.[/TD]

[/TR]

[TR=class: answerChoiceRow selectedansstyle]

[TD][/TD]

[TD]2.[/TD]

[TD=class: choiceContent] Increase intake of vitamins.[/TD]

[/TR]

[TR=class: answerChoiceRow]

[TD][/TD]

[TD]3.[/TD]

[TD=class: choiceContent] Reduce caloric intake.[/TD]

[/TR]

[TR=class: answerChoiceRow]

[TD][/TD]

[TD]4.[/TD]

[TD=class: choiceContent] Reduce fluid intake.[/TD]

[/TR]

[/TABLE]

Correct answer is 1 - increase protein. Protein is necessary to maintain muscle mass and a starchy diet will be low in protein. Option 2 can be tossed as nowhere in the question is current vitamin regimen [if any] addressed. 3 is incorrect as the question does not specify the pt as obese, assuming a normal weight range there is no need to lower calories to maintain weight. 4 is incorrect as 1500 ml/day is actually lower than the recommended fluid intake of approximately 3000 ml/day for an adult male.

Thanks. It's so great seeing multiple views on the question. It helps.

Are you using Hogan? When do plan on taking the nclex?