PA Study Guide Ch. 13

10. To quickly identify a client who may be at risk for nutritional problems, the nurse can use which of the following assessment?

Ans: A nutritional screening tool

6. The nurse documents that a 45 year old male is 177.8 (5 ft 10 in) tall and weighs 97.5 kg (215lb). He tells the nurse that he "has a good appetite, doesn't get much exercise because of his busy work schedule." An appropriate NANDA nursing diagnosis for this client is

Ans: Altered nutrition, more than body requirements related to intake greater than calories expended

8. Of the following measurements, which one helps to determine if a client is underweight, normal weight, or obese?

Ans: BMI

2. Waist circumference guidelines may not be accurate for adult clients who are shorter than 152.4 cm (5 ft) in height. This restriction is also a concern for which other anthropometric measurement?

Ans: Body Mass Index (BMI)

3. Based only on anthropometric measurements, which set of clients listed below are at the greatest risk for diabetes and cardiovascular disease?

Ans: Females with 89.9cm (35in) or greater waist circumference

1. The nurse is caring for an adult female client whose BMI is 38.7. The nurse should instruct the client that she is at greater risk for

Ans: Heart attack

9. When would a nurse obtain a mid-arm circumference measurement?

Ans: To provide percentage of body fat and muscle tissue

4. What is the most common measurement used to determine abdominal visceral fat?

Ans: Waist circumference

5. Because BMI is calculated using only height and weight, the nurse knows that inaccurate findings would most likely occur in a client

Ans: Who is a bodybuilder

7. The nurse is preparing to measure the triceps skinfold of an adult client. The nurse should

Ans: repeat the procedure three times and average the measurements