Progressive Care Nursing Certification (PCCN) Practice Exam

Which patient in the progressive care unit should be further evaluated for malnutrition?

1. Patient with a third episode of ARF and poor pulmonary function tests

2. Patient with hypoactive bowel sounds and normal albumin levels

3. Patient with sepsis who has a 10 kg water weight gain and is receiving diuretics

4. Patient with elevated BMI and Hgb of 14.6

The correct answer is: Patient with a third episode of ARF and poor pulmonary function tests

In the context of evaluating patients for malnutrition, the individual experiencing multiple episodes of acute renal failure (ARF) and poor pulmonary function tests may require further scrutiny. These factors can contribute significantly to nutritional status. Patients with chronic illness, such as recurrent ARF, often face increased metabolic demands and may struggle with nutrient intake or absorption. Additionally, poor pulmonary function can complicate nutritional status by limiting physical activity and appetite, as well as affecting the ability to consume adequate oral intake due to respiratory distress or weakness. Consequently, a patient with such a complex clinical picture is at a higher risk for malnutrition due to the interplay of disease processes and potential nutritional deficiencies that may arise as a result of the illnesses affecting their overall health. Recognizing the importance of evaluating these patients further is crucial, as malnutrition can lead to poorer outcomes, extended hospital stays, and increased complications. This makes the determination essential in optimizing nutritional interventions and support necessary for recovery and better health management.