Chapter 13: Assessing Nutritional status

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 a. heart attack b. osteoporosis c. rheumatoid arthritis d. stomach cancer

a. heart attack

what is the most common measurement used to determine abdominal visceral fat? a. waist circumference b. BMI c. subcutaneous fat determination d. triceps skinfold thickness

a. waist circumference

based only on anthropometric measurements, which set of clients listed below are at the greatest risk for diabetes and cardiovascular disease? a. clients with a BMI of 23 b. Females with 88.9 cm (35 in) or greater waist circumference c. Males with 88.9 (35 in) or greater in was it circumference d. clients with a BMI of 20

b. Females with 88.9 cm (35 in) or greater waist circumference

the nurse documents that a 45 year old male is 177.8 cm (5 ft 10 in) tall and weighs 97.5 kg (215 lb). he tells the nurse that he "has a good appetite, but doesn't get much exercise because of his busy work schedule." An appropriate NANDA nursing diagnosis for this client is a. normal body neutron related to healthy eating patterns and good appetite b. altered nutrition, more than body requirements related to intake greater than calories expended c. risk for altered nutrition, more than body requirements related to lack of routine exercise d. obesity related to lack of exercise

b. altered nutrition, more than body requirements related to intake greater than calories expended

when would a nurse obtain a mid-arm circumference measurement? a. to confirm abnormal albumin level b. to provide percentage of body fat and muscle tissue c. to screen for nutritional excess or deficits d. to assit in determining body mass index

b. to provide percentage of body fat and muscle tissue

estimate total body fat

body mass index (BMI)

of the following measurements, which one helps to determine is a client is underweight, normal weight, or obese? a. mid-arm circumference b. triceps skinfold c. body mass index d. was it hip ratio

c. body mass index

waist circumference guidelines may or 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 a. ideal weight b. mid-arm circumference c. body mass index (BMI) d. triceps skinfold measurement

c. body mass index (BMI)

the nurse is preparing to measure the triceps skin fold of an adult client. the nurse should a. ask the client to assume a sitting position b. measure the triceps skin fold in the dominate arm c. repeat the procedure three times and average the measurements d. pull the skin toward the muscle mass of the arm

c. repeat the procedure three times and average the measurements

malnutrition sometimes seen in clients with cancer

cachexia

to quickly identify a client who may be at risk for nutritional problems, the nurse can use which of the following assessments? a. laboratory blood work b. a comprehensive nutritional assessment c. a physical examination d. a nutritional screening tool

d. a nutritional screening tool

Because BMI is calculated using only height and weight, the nurse knows that inaccurate findings would most likely occur in a client a. with diabetes b. who is 182.8 cm (6 ft) tall. c. with osteoarthritis d. who is a bodybuilder

d. who is a bodybuilder

used to assess skeletal muscle mass

mid-arm circumference

used to elevate subcutaneous fat stores

triceps skinfold

excess fat within the abdominal cavity

visceral fat