Exam 9: Nutritional Assessment

The nurse has collected data on clients who have visited a health fair in the mall.Which of the following clients is most in need of a detailed nutritional assessment?

The nurse is collecting data from a client at the ambulatory care clinic.During the meeting,the client asks the nurse about using height and weight tables to determine his ideal weight.What response by the nurse is most appropriate?

The nurse is teaching a newly diagnosed diabetic about appropriate serving sizes for foods.The nurse would include which of the following estimates for a single serving of meat?

A Bioelectrical Impedance Analysis (BIA)is being performed on a client.Which of the following is associated with this test?

The nurse is preparing an inservice for staff on the risk factors for poor nutritional health.Which of the following would the nurse include as risk factors for overnutrition?

The community health nurse is planning a program for a group of African American senior citizens.Which of the following facts should be included in the presentation?

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 of the following factors may be associated with inaccurate reporting of dietary intake?

The nurse using the body mass index (BMI)to assess weight in a client should understand which of the following limitations of this method?

The nurse is obtaining tricep skinfold measurements on a client.Which of the following locations would the nurse correctly use for this assessment?

A 78-year-old female client is in the healthcare provider's office for a routine physical exam.She asks for an explanation of why skinfold measurements are not done on her anymore.The nurse's best response would be:

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

An overweight female client is reluctant to get on the scales at the healthcare provider's office.She verbalizes that she does not want to know how much she actually weighs.The nurse's best response would be:

When interviewing a 68-year-old male 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?

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

The nurse is admitting a 69-year-old client with a possible hip fracture.The client is overweight,so the nurse understands that there is an increased likelihood risk for which of the following?

The nurse is interviewing a 20-year-old client who is 14 weeks pregnant and seeking prenatal care.She tells the nurse that she likes to eat ice and occasionally eats dirt.The nurse should anticipate which of the following laboratory studies to be ordered?

The graduate nurse in orientation notices that a dietician evaluates each postoperative client's chart.They know that this is done primarily to:

The nurse is using a dietary recall tool to obtain a nutritional history on a client.The nurse must recognize the greatest limitation of using this assessment tool is which of the following?

The nurse is assessing a 12-month-old child and needs to determine length.The nurse would correctly use which of the following procedures to obtain this information?

An 80-year-old male client is brought to the emergency room by his son with a preliminary diagnosis of dehydration.The client is agitated.When the nurse asks the client to open his mouth for an oral exam,the client yells,"You don't need to look in my mouth to see what is wrong with me!" The nurse's best rationale for looking in his mouth is: