Which of the following patients is least likely to have a nutritional alteration?

The choice indicating that Patient L, whose weight is 10% above ideal body weight, is least likely to have a nutritional alteration is based on the understanding that a slight excess in weight does not inherently indicate a nutritional deficiency or concern. While being overweight can carry its own risks, particularly from a metabolic perspective, it does not automatically suggest that the individual is experiencing inadequate nutrition.

In contrast, the other patients manifest clear potential for nutritional issues. For example, Patient J, being an elderly individual with poorly fitting dentures, may face challenges in chewing and consuming a balanced diet, leading to possible nutritional deficiencies. Patient M, at 17 years old and weighing only 90 pounds, raises concerns about being underweight, which can point to inadequate nutrition and associated health risks. Lastly, Patient K, who has been NPO (nothing by mouth) for seven days after bowel surgery, is at high risk for nutritional deficits due to the lack of oral intake during this crucial recovery period, which may compromise healing and overall health.

Thus, Patient L stands apart from the others, as a minor overage in weight does not signify an immediate risk of nutritional alteration when compared to the more pronounced challenges faced by the other patients in regards to their nutritional statuses.