Chapter 13: Assessing Nutritional Status
The nurse measures a male client's waist circumference as 43 inches (109 cm). Which statement is most appropriate for the nurse to make given this finding?
"Let's discuss your risk factors for heart disease."
Parents of a 15 month old state they are worried about the rolls of fat on the toddler's thighs; so they have switched him over to skim milk. What is the nurse's best response?
"Whole milk is recommended until age 2."
During an initial prenatal visit, the nurse is performing a nutritional assessment of a woman who has just learned that she is pregnant. The nurse has determined that the client has an average stature and is 5 feet, 3 inches tall. What is this client's ideal body weight?
115 lbs.
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 client's ideal weight?
145 lb
When calculating ideal body weight for women, the health care professional adds how many pounds for each inch over 5 feet?
5
A male client who was transferred from intensive care and extubated less than 24 hours ago exhibits drooling and a weak voice. At meal time, what is the nurse's priority action?
Explain to the client why he should not eat anything by mouth yet.
Upon assessment, the nurse determines the client has a body mass index (BMI) of 45. This finding indicates the client is which of the following?
Extremely obese
Based only on anthropometric measurements, which set of clients listed below are at the greatest risk for diabetes and cardiovascular disease?
Females with 88.9 cm (35 in) or greater waist circumference.
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?
Increase foods rich in vitamin B12 and calcium
What precaution should the nurse take when measuring a client's abdominal girth to screen for cardiovascular risk factors?
Place the tape measure behind the client and measure at the umbilicus
What is the most common measurement used to determine abdominal visceral fat?
Waist circumference.
A nurse has been assigned a group of clients. Which of the following clients would the nurse determine to be at highest risk for overhydration?
client receiving large volumes of parenteral fluids client with a long history of liver dysfunction client with renal dysfunction
When evaluating data on a client with an eating disorder, the nurse would expect to find
magenta tongue
