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A student nurse is caring for a 51-year-old female patient admitted with complications related to breast cancer. The student assists with the patient’s calorie count and supplemental feedings. The patient is pleased with her weight gain and increased sense of well-being, but she asks the student why the doctor orders blood tests to determine her nutritional status. "It’s obvious from my weight gain that I’m getting better," she says. How should the student respond?

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Final answer:

Weight gain alone does not fully reflect nutritional status, especially in cancer patients. Blood tests provide a comprehensive view of nutrient levels, detect metabolic abnormalities, and monitor organ function, which are crucial for patients under cancer treatment.

Step-by-step explanation:

Weight gain in a patient, even in the context of nutritional supplementation and calorie count, may not fully represent the nutritional status or overall health of the individual. Regular blood tests are essential in patients with breast cancer because they provide a detailed picture of the patient’s nutritional status beyond what weight alone can show. These tests will often check for levels of specific nutrients such as proteins, vitamins, and minerals. In particular, for someone undergoing treatment for cancer, it is crucial to monitor these values, as cancer and its treatment can often lead to nutritional deficiencies or imbalances that may not be immediately visible through weight changes alone.

For instance, cancer treatments can affect the absorption of nutrients and the body's metabolism. A patient might be gaining weight due to fluid retention rather than an actual increase in healthy tissue mass. Therefore, the blood tests help in ensuring the patient does actually have adequate levels of hematocrit, hemoglobin, and serum protein concentration among others, which can indicate good nutrition, and ensuring that treatment is not causing issues such as liver or kidney damage which may also be reflected in certain blood parameters.

Moreover, these tests can help to detect any metabolic abnormalities or electrolyte imbalances which could be critical, especially considering that the patient’s body is already under stress from both the illness and the treatment.

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