The nurse recognizes which of these persons is at greatest risk for undernutrition?
When assessing a patients nutritional status, the nurse recalls that the best definition of optimal nutritional status is sufficient nutrients that:
Provide for daily body requirements and support increased metabolic demands.
The nurse is providing nutrition information to the mother of a 1-year-old child. Which of these statements represents accurate information for this age group?
Maintaining adequate fat and caloric intake is important for a child in this age group.
A pregnant woman is interested in breastfeeding her baby and asks several questions about the topic. Which information is appropriate for the nurse to share with her?
Breast milk provides the nutrients necessary for growth, as well as natural immunity.
A mother and her 13-year-old daughter express their concern related to the daughters recent weight gain and her increase in appetite. Which of these statements represents information the nurse should discuss with them?
Snacks should be high in protein, iron, and calcium.
The nurse is assessing a 30-year-old unemployed immigrant from an underdeveloped country who has been in the United States for 1 month. Which of these problems related to his nutritional status might the nurse expect to find?
Osteomalacia (softening of the bones)
For the first time, the nurse is seeing a patient who has no history of nutrition-related problems. The initial nutritional screening should include which activity?
Measurement of weight and weight history
A patient is asked to indicate on a form how many times he eats a specific food. This method describes which of these tools for obtaining dietary information?
The nurse is providing care for a 68-year-old woman who is complaining of constipation. What concern exists regarding her nutritional status?
Absorption of nutrients may be impaired.
During a nutritional assessment, why is it important for the nurse to ask a patient what medications he or she is taking?
Certain drugs can affect the metabolism of nutrients.
A patient tells the nurse that his food simply does not have any taste anymore. The nurses best response would be:
When did you first notice this change?
The nurse is performing a nutritional assessment on a 15-year-old girl who tells the nurse that she is so fat. Assessment reveals that she is 5 feet 4 inches and weighs 110 pounds. The nurses appropriate response would be:
How much do you think you should weigh?
The nurse is discussing appropriate foods with the mother of a 3-year-old child. Which of these foods are recommended?
Finger foods and nutritious snacks that cannot cause choking
The nurse is reviewing the nutritional assessment of an 82-year-old patient. Which of these factors will most likely affect the nutritional status of an older adult?
Living alone on a fixed income
When considering a nutritional assessment, the nurse is aware that the most common anthropometric measurements include:
Height and weight.
If a 29-year-old woman weighs 156 pounds, and the nurse determines her ideal body weight to be 120 pounds, then how would the nurse classify the womans weight?
How should the nurse perform a triceps skinfold assessment?
After applying the calipers, the nurse waits 3 seconds before taking a reading. After repeating the procedure three times, an average is recorded.
In teaching a patient how to determine total body fat at home, the nurse includes instructions to obtain measurements of:
Height and weight.
The nurse is evaluating patients for obesity-related diseases by calculating the waist-to-hip ratios. Which one of these patients would be at increased risk?
29-year-old woman whose waist measures 33 inches and hips measure 36 inches
A 50-year-old woman with elevated total cholesterol and triglyceride levels is visiting the clinic to find out about her laboratory results. What would be important for the nurse to include in patient teaching in relation to these tests?
Provide information regarding a diet low in saturated fat.
In performing an assessment on a 49-year-old woman who has imbalanced nutrition as a result of dysphagia, which data would the nurse expect to find?
Inadequate nutrient food intake
A 21-year-old woman has been on a low-protein liquid diet for the past 2 months. She has had adequate intake of calories and appears well nourished. After further assessment, what would the nurse expect to find?
Decreased serum albumin
The nurse is performing a nutritional assessment on an 80-year-old patient. The nurse knows that physiologic changes can directly affect the nutritional status of the older adult and include:
Slowed gastrointestinal motility.
Which of these interventions is most appropriate when the nurse is planning nutritional interventions for a healthy, active 74-year-old woman?
Decreasing the number of calories she is eating because of the decrease in energy requirements from the loss of lean body mass
A 16-year-old girl is being seen at the clinic for gastrointestinal complaints and weight loss. The nurse determines that many of her complaints may be related to erratic eating patterns, eating predominantly fast foods, and high caffeine intake. In this
Having the patient complete a food diary for 3 days, including 2 weekdays and 1 weekend day
The nurse is preparing to measure fat and lean body mass and bone mineral density. Which tool is appropriate?
Dual-energy x-ray absorptiometry (DEXA)
Which of these conditions is due to an inadequate intake of both protein and calories?
During an assessment of a patient who has been homeless for several years, the nurse notices that his tongue is magenta in color, which is an indication of a deficiency in what mineral and/or vitamin?
A 50-year-old patient has been brought to the emergency department after a housemate found that the patient could not get out of bed alone. He has lived in a group home for years but for several months has not participated in the activities and has stayed
Vitamin D and calcium
An older adult patient in a nursing home has been receiving tube feedings for several months. During an oral examination, the nurse notes that patients gums are swollen, ulcerated, and bleeding in some areas. The nurse suspects that the patient has what c
Vitamin C deficiency
The nurse is assessing the body weight as a percentage of ideal body weight on an adolescent patient who was admitted for suspected anorexia nervosa. The patients usual weight was 125 pounds, but today she weighs 98 pounds. The nurse calculates the patien
Experiencing moderate malnutrition.