Exam 60: Care of Patients with Malnutrition: Undernutrition and Obesity

A nurse is weighing and measuring a client with severe kyphosis.What is the best method to obtain this client's height?

The nurse understands that malnutrition can occur in hospitalized clients for several reasons.Which are possible reasons for this to occur? (Select all that apply.)

A morbidly obese client is admitted to a community hospital that does not typically care for bariatric-sized clients.What action by the nurse is most appropriate?

A nurse and a registered dietitian are assessing clients for partial parenteral nutrition (PPN).For which client would the nurse suggest another route of providing nutrition?

A nurse is caring for four clients receiving enteral tube feedings.Which client should the nurse see first?

A client wants to lose 1.5 pounds a week.After reviewing a diet history,the nurse determines the client typically eats 2450 calories a day.What should the client's calorie goal be to achieve this weight loss? (Record your answer using a whole number.)__ calories/day

A client is in the family practice clinic.Today the client weighs 186.4 pounds (84.7 kg).Six months ago the client weighed 211.8 pounds (96.2 kg).What action by the nurse is best?

A client just returned to the surgical unit after a gastric bypass.What action by the nurse is the priority?

A nurse attempted to assist a morbidly obese client back to bed and had immediate pain in the lower back.What action by the nurse is most appropriate?

A client weighs 228 pounds (103.6 kg)and is 5'3" (160 cm)tall.What is this client's body mass index (BMI)? (Record your answer using a decimal rounded up to the nearest tenth.)_____

A nurse is caring for a morbidly obese client.What comfort measure is most important for the nurse to delegate to the unlicensed assistive personnel (UAP)?

A nurse has delegated feeding a client to an unlicensed assistive personnel (UAP).What actions does the nurse include in the directions to the UAP? (Select all that apply.)

Several nurses have just helped a morbidly obese client get out of bed.One nurse accesses the client's record because "I just have to know how much she weighs!" What action by the client's nurse is most appropriate?

A client is receiving bolus feedings through a Dobhoff tube.What action by the nurse is most important?

A client asks the nurse about drugs for weight loss.What response by the nurse is best?

When working with older adults to promote good nutrition,what actions by the nurse are most appropriate? (Select all that apply.)

A client is receiving total parenteral nutrition (TPN).On assessment,the nurse notes the client's pulse is 128 beats/min,blood pressure is 98/56 mm Hg,and skin turgor is dry.What action should the nurse perform next?

A nurse is designing a community education program to meet the Healthy People 2020 objectives for nutrition and weight status.What information about these goals does the nurse use to plan this event? (Select all that apply.)

A nurse is reviewing laboratory values for several clients.Which value causes the nurse to conduct nutritional assessments as a priority?

A client is in the bariatric clinic 1 month after having gastric bypass surgery.The client is crying and says "I didn't know it would be this hard to live like this." What response by the nurse is best?