Solutions
A nutritional assessment is based on:
Physical examination, anthropometric measurements, laboratory
data, and food intake.
A 72-year-old female patient is admitted to the general
medical/surgical floor. While the nurse is performing his
physical assessment on the patient, he noted concerns with the
patient's hair, skin, teeth, and nails. He knows these are most
likely related to:
Malnutrition.
The purpose of measuring body mass index (BMI) is:
To estimate the amount of body fat.
The purpose of assessing abdominal circumference is:
To measure abdominal fat.
The purpose of assessing the waist-to-hip ratio (WHR) is:
To measure central distribution of fat.
The purpose of assessing the mid-upper arm circumference is:
To assess body protein stores and skeletal muscle mass.
A nurse is working in a weight loss clinic and spends a
significant amount of time educating patients. The nurse knows
that education is important in helping weight loss patients be
,successful. Which of the following statements indicates that a
patient needs additional education?
"Alcohol does not count toward my calories, so I do not have to
worry about the alcohol I drink."
A nurse is assessing a patient's plan for weight loss, which
should include diet and exercise. The nurse knows the patient
should exercise a minimum of ______ hours per week.
2.5
Nutritional assessments are important to understanding a
patient's overall health but can be a sensitive topic to discuss
with patients. When performing a nutritional assessment, the
nurse knows patients:
May not always be truthful in their report.
Obesity is a national epidemic. Causes of weight gain include all
of the following EXCEPT:
Eating a diet with a balance between nutrient intake and
physiological requirements.
A nursing instructor is discussing individuals who are at risk for
malnutrition with a nursing student. The instructor recognizes
that the student needs further education if he indicates which of
the following groups of individuals as being at risk for
undernutrition?
College students
,A nurse is working with a 21-year-old female to provide
education about weight loss. The nurse knows to discuss
balancing calories as part of a weight loss plan, which includes:
Consuming fewer calories through food and beverage.
While admitting a 40-year-old male patient for surgery, a nurse
is performing a nutritional assessment. The nurse understands
that this patient is at nutritional risk due to a history of:
Being a long-term diabetic.
You are assessing an 89-year-old patient in a long-term care
facility. The nursing aide reports to you that the patient states
that he has no appetite and is only eating 50% of his meals.
What will you document in the nursing note?
Patient has anorexia and is eating only 50% of his meals.
While the patient is eating her meal you observe her having
difficulty swallowing solid food. The medical term for difficulty
swallowing is:
Dysphagia.
You are performing a nutritional assessment through direct
observation. The patient was given a half cup of mashed
potatoes, a hamburger on a bun, and a half cup of string beans.
He eats a quarter cup of the mashed potatoes, all of the
hamburger, and all of the string beans. What would you
document?
Patient ate greater than 80% of his meal.
, You are caring for a patient with a very large abdomen who has
liver disease. The doctor has ordered abdominal circumferences
to be assessed every shift. What is the correct technique to
assess an abdominal circumference?
Place the tape measure around the bare abdomen at the level of
the iliac crest as the patient breathes out.
A nurse is educating a patient about the importance of good
nutrition. The nurse knows the patient understands the teaching
when he recognizes that the benefits of healthy eating include
which of the following? Select all that apply.
Decreased risk of obesity
Decreased risk of chronic diseases
Decreased risk of micronutrient deficiencies
A patient’s nutritional status can be influenced by many
different factors including which of the following? Select all
that apply.
Economic considerations
Available transportation
Cultural and ethnic influences
Lack of knowledge about good nutrition
A patient is having diagnostic laboratory tests drawn to assess
her nutritional status. The nurse explains to the patient that there
are several laboratory tests that will be used as assessment tools
for nutritional status, including which of the following? Select
all that apply.