CH13-PU
A nurse recognizes that a client may be at risk for malnutrition when which lifestyle behavior is present?
Chronic Dieting
A nurse is working with a client who has just been given a prescription for warfarin (Coumadin). Which foods should the nurse warn this client to avoid due to its interference with the effectiveness of warfarin?
Green, leafy vegetables
A client with diabetes mellitus visits the health care clinic with reports of excessive thirst and excessive urination. She states that her appetite has been low for the past 3 months, and has lost 20 pounds. Which nursing diagnosis should the nurse confirm based on this data?
Imbalanced nutrition
When teaching a nutrition class, what would you recommend for adults older than the age of 50?
Increases foods rich in vitamin B12 and calcium
A nurse is assessing the nutritional status of an elderly client. Which of the following tools would be best for the nurse to use for this client?
Mini nutritional assessment (MNA-SF)
Which statement about overnutrition should a nurse keep in mind when evaluating a client's nutritional status?
Muscle, bone, fat, and fluid can account for excessive weight
After assessing a new client, the nurse documents findings in the medical record. What is the best example of documenting normal findings?
Nails are strong
You are the clinic nurse assessing a new patient that has come in to see a physician. The assessment data that you collect reveals that the patient is a 23 year-old female weighing 175 lb with a height of 5 ft 3 in. Her body mass index is 31. What would she be considered?
Obese
A nurse is providing nutritional instruction at a health fair. She instructs passersby on the characteristics of a nutrient that is the body's first source of energy, sparing use of other nutrients for this purpose, that raises the blood glucose level, is found in fruit juices, and that can be converted quickly into energy. To which of the following nutrients is the nurse referring?
Simple carbohydrates
A client asks a nurse how much exercise is needed to prevent weight gain. Which response by the nurse is accurate?
Sixty minutes of exercise will help prevent weight gain
A client suffering from decreased muscle strength has been diagnosed with a low Vitamin D level. The nurse should recommend that the client increase intake of which vitamin source?
Sunshine
When beginning a height measurement on a 14-year-old, the nurse should instruct the patient to stand on the scale with his back to the wall.
True
A nurse is teaching a class on diet and nutrition to a group of mothers who are breast-feeding their infants. What would the nurse tell the group is the emphasis of nutritional guidelines?
Variety
When performing a nutritional assessment on a client, a nurse observes that the client has a red, beefy tongue. The nurse recognizes this finding as a deficiency of which essential nutrient?
Vitamin B
A nurse has just determined a client's body mass index (BMI). Which measurement should the nurse add to the BMI to increase the predictive ability for health risk to the client?
Waist circumference
Which measurement should the nurse add to the body mass index to increase the predictive ability for the client?
Waist circumference
Because BMI is calculated using only height and weight, the nurse knows that inaccurate findings would most likely occur in a client
Who is a bodybuilder
A nurse collects nutritional information on a client. Which statement by the client needs to be validated by careful objective data? I drink two large bottles of caffeinated beverages every day. "Packing a lunch helps me to control my calorie intake." "I exercise about 30 minutes a day to control my weight." "I eat small amounts of food 5 to 6 times a day."
a
A nurse is measuring an adult male client's mid-arm circumference (MAC) as part of the overall assessment of the client's nutritional status. Which of the following is the standard reference for the MAC for an adult male? a) 29.3 cm b) 26.3 cm c) 25.7 cm d) 28.5 cm
a
Which questions are appropriate for the nurse to ask a client that is obese in regards to nutritional status? Select all that apply. "How do you decide your diet?" "What is your height and usual weight?" "Do you like eating all kinds of food?" "Are any members of your family obese?"
a,b,d
A home health care nurse is instructing an elderly client on nutrition and health. Which of the following measures should the nurse mention as methods of ensuring food safety? Select all that apply. Avoiding adding excessive salt when cooking to manage hypertension Using a meat thermometer to ensure that a turkey is fully cooked Cleaning lettuce before chopping it up for a salad Separating raw from cooked ground beef to prevent cross-contamination
b,c,d (a is not about food safety)
It would be a priority for the nurse to provide counseling about nutrition and exercise for weight loss for which client? A a client with body mass index of 18.5 and family history of heart disease B a client with a body mass index of 23 and high LDL cholesterol C a client with body mass index of 27 and blood pressure of 145/80 mm Hg D a client with a body mass index of 25 and normal HDL cholesterol
c
A nurse begins a comprehensive physical examination on a client and notes that the client has a large amount of adipose tissue around the waistline. The nurse recognizes that this client should be assessed for an increased risk of which diseases? Select all that apply. Pancreatitis Liver disease Type II diabetes mellitus Stroke Hypertension Colon cancer
c,d,e
Cachexia is characterized by a highly catabolic state with accelerated muscle loss. What is the other component of cachexia?
chronic inflammatory response
What precaution should the nurse take when measuring a client's abdominal girth to screen for cardiovascular risk factors? a) Ask the client to be seated and relaxed when taking the measurement b) Inform the client that the pen mark on the abdomen should not be washed off c) Ensure that the client has had a full meal before measuring the abdomen d) Place the tape measure behind the client and measure at the umbilicus
d
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 stomach cancer. heart attack. osteoporosis. rheumatoid arthritis.
heart attack
What is the use of dietary assessment data gathered from a client by a nurse?
identify patient outcomes
A nurse is working with a client who is Buddhist. Based on what the nurse knows of the common dietary practice of this religion, which nutrient should the nurse make sure that the client is not deficient in?
iron
To calculate the ideal body weight for a woman, the nurse allows
100 pounds for 5 feet of height
A nurse is measuring an adult female client's mid-arm circumference (MAC) as part of her overall assessment of the client's nutritional status. Which of the following is the standard reference for the MAC for an adult female?
28.5cm
An individual is considered obese when his or her BMI is:
30-39
A waist circumference of greater that what number is indicative of excess abdominal fat in men?
40
A client in a long term care facility has lost 5 lbs of body weight in the past month. Which of the following actions should the nurse take to determine the cause of the weight loss?
Analyze the client's intake record
A nurse is providing nutritional instruction to a client with cardiovascular disease. The nurse mentions a nutrient that is a necessary component of bile salts (which aid in digestion), serves as an essential element in all cell membranes, is found in brain and nerve tissue, and is essential for the production of several hormones such as estrogen, testosterone, and cortisone. The nurse warns the client, however, that this nutrient when consumed in excess can lead to heart attacks and strokes. To which of the following nutrients is the nurse referring?
Cholesterol
You note that your patient has developed mental status changes and paresthesias. What would you know to assess as a possible cause for these changes?
Patient's hydration status
A client has a body mass index of 26.5. What teaching would be indicated for this client?
Reduce calorie intake by 250-500 calories each day
When would a nurse obtain a mid-arm circumference measurement?
To provide percentage of body fat and muscle tissue
What is the most common measurement used to determine abdominal visceral fat?
Waist circumference
A nurse is conducting a health history interview for an older adult. Which of the following questions or statements would be important for nutritional assessment?
"What prescribed and over-the-counter medicines do you take?"
A nurse is instructing a client on the importance of protein in the diet. Which of the following should the nurse mention as functions of proteins in the body? Select all that apply.
-Acting as enzymes for chemical reactions such as digestion. -Helping transport oxygen and lipids through the circulatory system -Making hormones such as insulin
A nurse recognizes that which of these are possible health risks for a client who is obese? Select all that apply.
-Hypertension -Sleep apnea -Diabetes
A nurse is describing the importance of fats to the diet to a client. Which of the following functions of fat in the body should the nurse mention? Select all that apply.
-Insulating skin and nerve fibers -Protecting internal organs -Lubricating skin to slow water loss
Which interventions should a nurse implement when conducting a hydration assessment on a young client with a high temperature? Select all that apply.
-Palpate radial pulse -Observe skin moisture -Inspect tongue condition -Check skin turgor
A nurse is calculating the ideal body weight for a female client who 5 feet 5 inches and has a medium body frame. Which of the following is this client's ideal body weight?
125
A nurse is establishing an ideal body weight for a 5' 9" healthy female. Based on the rule-of-thumb method, what would be this patient's ideal weight?
145 lb
A nurse assesses a 105-pound adult client who is 5 feet 8 inches tall. What is the estimated body mass index (BMI) for this client?
16
A nurse assesses a 114-pound adult client who is 5 feet 5 inches tall. What is the estimated body mass index (BMI) for this client?
19
At what percent of weight over ideal weight is a person considered obese?
20%
A nurse is working with a patient whose ideal body weight is 172 lb. At what weight would this client first be considered obese?
206.4 lb
A nurse assesses a 175-pound adult client who is 5 feet 11 inches tall. What is the estimated body mass index (BMI) for this client?
24.4
A nurse assesses a 350-pound adult client who is 6 feet 1 inch tall. What is the estimated body mass index (BMI) for this client?
46
When calculating ideal body weight for women, the health care professional adds how many pounds for each inch over 5 feet?
5
A nurse is caring for several patients in an outpatient setting. Which of the following patients is most likely to experience a weight gain?
A 33 year old athlete on steroids
The nurse is reviewing a client's medical history before surgery. The client has been taking ginseng, garlic, and aspirin daily. What's the nurse's best action?
Advise the client to notify his or her healthcare provider about stopping the supplements and asprin
A client with a body mass index of 14 refuses to eat breakfast and cuts up the food for lunch and dinner but does not eat anything. What should the nurse suspect this client is demonstrating?
Anorexia nervosa
