An older adult client has a decubitus ulcer with drainage, dysphagia, and immobility. She consumes less than 300 calories per day and has a large amount of interstitial fluid. The client is in a state of .

Negative nitrogen balance

Explanation:

Based on the information provided within the question it can be said that in this scenario it is clear that the client is in a state of Negative nitrogen balance. This means that the individual is excreting more nitrogen than what the amount of nitrogen that the body is ingesting. This happens in many scenarios such as  serious tissue injuries, fevers, hyperthyroidism, decubitus ulcer with drainage, etc.