Exam 12: Nutritional Assessment

When interviewing an older adult client, the nurse discovers a list of 23 herbal and vitamin supplements that are being consumed by the client each day. Which response by the client indicates the need for further nutritional teaching by the nurse at this visit?

An overweight client is reluctant to get on the scales at the healthcare provider's office. The client verbalizes that not wanting to know the current weight. Which response by the nurse is the most appropriate?

A group of college athletes from the volleyball team have reported concerns about the reports regarding their weight and nutritional status. The reports were based on BMI (body mass index) values. The team's healthcare provider that collected the data and sent the reports decided to change their recommendations based on which explanation?

An older adult client is brought to the emergency department by an adult child with a preliminary diagnosis of dehydration. The client is agitated and when asked by the nurse to open the mouth the client yells, "You don't need to look in my mouth to see what is wrong with me!" Which rationale for conducting a mouth assessment is the most accurate?

The graduate nurse in orientation notices that a dietician evaluates each postoperative client's chart. Which are primary reasons for this action?

The nurse is collecting nutritional intake information from a client. The nurse does not feel the client is being forthcoming and honest with the intake self-reports. Which factor may be associated with inaccurate reporting of dietary intake?

An older adult client is in the healthcare provider's office for a routine physical exam. The client asks for an explanation of why skinfold measurements are not done as part of her assessment anymore. Which response by the nurse is the most appropriate?

The nurse is using waist circumference to assess overnutrition in an adult female. Which is the correct placement for the measurement tape?

The nurse is assessing an infant and needs to determine length. Which procedure is appropriate for the nurse to use to measure length?

A young adult client visits the healthcare provider office for a routine yearly gynecological exam. The nurse is providing education to the client. The client asks for an explanation of why the nurse recommended that she take a multivitamin that contains folic acid. Which response by the nurse is the most appropriate?

A Bioelectrical Impedance Analysis (BIA) is being performed on a client. Which interventions will the nurse implement for this client?

The nurse collects data on clients who have visited a health fair in the mall. Which client would benefit the most from a detailed nutritional assessment?

The nurse is performing anthropometric measurements on a client in the clinic setting. Which definition of this term would the nurse use when explaining this measurement to the client?

The nurse is preparing an in-service for staff on the risk factors for poor nutritional health. Which risk factors for overnutrition will the nurse include?

The school nurse is discussing dietary concerns with student members of the track team. Which student statements indicate the need for further instruction?

The nurse conducts a nutritional assessment and concludes that the client is experiencing undernutrition. Which condition would cause the nurse to suspect this nutritional disorder?

The nurse is preparing to assess a client's tricep skinfold measurement. Which location is appropriate for the nurse to use during this assessment?

The nurse admits a client to the medical-surgical unit. After completing a nutritional assessment, the nurse notes that the client has a deficiency of protein and overall caloric intake. Which finding supports this conclusion by the nurse?

A nurse is preparing to review an overweight client's food recall diary for the past week. Which choice would be most helpful when teaching a client about recommended portion sizes?

The community health nurse is planning a program for a group of African American older adult clients. Which fact should the nurse include in the presentation?