Health Assessment Nutrition
Quiz by Danna Morris
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- Q1
Which statement about weight should a nurse keep in mind when evaluating a client's nutritional status?
Subtle deviations from the normal ranges are to be expected
Unanswered optionFat distribution is not as important as the overall amount
Muscle, bone, fat, and fluid can account for excessive weight
Obesity is classified as being 10% over ideal body weight
30s - Q2
A nurse collects nutritional information on a client. Which statement by the client needs to be validated by careful objective data?
"I drink two large bottles of caffeinated beverages every day."
"I exercise about 30 minutes a day to control my weight."
"I eat small amounts of food 5 to 6 times a day."
"Packing a lunch helps me to control my calorie intake."
30s - Q3
A nurse obtains a height measurement on an elderly client and notes that the height has decreased from 5 years ago. What is an appropriate action by the nurse?
Compare the new height to the client weight to assess for changes in body mass index (BMI)
Measure the arm span and record the taller measurement
Record this measurement in the client chart and alert the health care provider
Obtain a height with the client lying down on the exam table
30s - Q4
A nurse is using calipers to assess a client. Which of the following measurements is the nurse taking?
Skinfold thickness
Unanswered optionMid-arm circumference
Body mass index
Waist circumference
30s - Q5
A nurse is measuring an adult male client's mid-arm circumference (MAC) as part of the overall assessment of the client's nutritional status. Which of the following is the standard reference for the MAC for an adult male?
29.3 cm
25.7 cm
28.5 cm
26.3 cm
30s - Q6
A nurse is working with a client who has just been given a prescription for warfarin (Coumadin). Which foods should the nurse warn this client to avoid due to its interference with the effectiveness of warfarin?
Dairy products
Green, leafy vegetables
Citrus fruits
Red meat
30s - Q7
A nurse has just determined a client's body mass index (BMI). Which measurement should the nurse add to the BMI to increase the predictive ability for health risk to the client?
Mid-arm circumference
Mid-arm muscle circumference
Waist circumference
Triceps skinfold measurement
30s - Q8
A nurse assesses a 114-pound adult client who is 5 feet 5 inches tall. What is the estimated body mass index (BMI) for this client?
21 BMI
20 BMI
19 BMI
22 BMI
30s - Q9
What precaution should the nurse take when measuring a client's abdominal girth to screen for cardiovascular risk factors?
Inform the client that the pen mark on the abdomen should not be washed off
Ensure that the client has had a full meal before measuring the abdomen
Place the tape measure behind the client and measure at the umbilicus
Ask the client to be seated and relaxed when taking the measurement
30s - Q10
How can a nurse best assess a client's dietary habits?
Obtain a height and weight and calculate a body mass index (BMI)
Assess for the presence of any chronic disease processes
Ask about how much food is eaten at an average meal
Obtain a 24 hour dietary recall of all foods and fluids consumed
30s - Q11
A nurse is working with a client with a chronic disease that has contributed to the client developing cachexia, a type of malnutrition. As a result, the client demonstrates abnormal metabolic rate, anorexia, muscle wasting, severe weight loss, and general decline in condition. Which chronic disease, strongly associated with cachexia, does the client most likely have?
Osteoporosis
Cardiovascular disease
Cancer
Diabetes
30s - Q12
In which disease process should a nurse expect to see a client with the presence of pitting edema?
Colon cancer
End stage renal disease
Diabetes mellitus
Liver disease
30s - Q13
A nurse is providing nutritional instruction to a client with cardiovascular disease. The nurse mentions a nutrient that is a necessary component of bile salts (which aid in digestion), serves as an essential element in all cell membranes, is found in brain and nerve tissue, and is essential for the production of several hormones such as estrogen, testosterone, and cortisone. The nurse warns the client, however, that this nutrient when consumed in excess can lead to heart attacks and strokes. To which of the following nutrients is the nurse referring?
Protein
Saturated fat
Unsaturated fat
Cholesterol
30s - Q14
A client with diabetes mellitus visits the health care clinic with reports of excessive thirst and excessive urination. She states that her appetite has been low for the past 3 months, and has lost 20 pounds. Which nursing diagnosis should the nurse confirm based on this data?
Activity intolerance
Knowledge deficit
Fluid volume, excessive
Imbalanced nutrition
30s - Q15
When performing a nutritional assessment on a client, a nurse observes that the client has a red, beefy tongue. The nurse recognizes this finding as a deficiency of which essential nutrient?
Thiamine
Niacin
Iodine
Vitamin B
30s