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    Ati Med Surg Complex 2 Final Proctored Exam

    What are the objective data the nurse identifies indicating that the nutrition goals are not being met?

    Explanation & Rationale

    Rationale: A. Overhydration, hypoglycemia, and weight gain is incorrect because weight gain could indicate adequate or excessive caloric intake, and hypoglycemia may be related to other factors such as insulin administration rather than inadequate nutrition. Overhydration is more of a fluid balance issue than a direct indicator of nutrition goals not being met. B. Hyperglycemia, normovolemia, and increased protein level is incorrect because increased protein levels suggest adequate protein intake. Normovolemia indicates proper fluid status, and while hyperglycemia can occur with parenteral nutrition, it does not alone indicate that nutritional goals are unmet. C. Weight loss, elevated glucose, and dehydration is correct because weight loss reflects inadequate caloric intake, elevated glucose may indicate poor metabolic control or stress response to inadequate nutrition, and dehydration suggests insufficient fluid intake. These objective findings collectively indicate that nutrition and fluid goals are not being met, which could impair recovery and wound healing. D. Weight gain, inconsistent glucose, and normovolemia is incorrect because weight gain and normovolemia indicate that at least caloric and fluid needs are partially met. Inconsistent glucose alone does not clearly indicate that nutritional goals are unmet without other signs such as weight loss or protein deficiency.

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