A nurse is collecting nutritional data from a group of adult clients. For which of the following clients should the nurse recommend an interprofessional care conference with a dietitian?
A client who has a sodium intake of 1,200 mg/day.
A client who has a serum albumin level of 4.5 g/dL.
A client who has a body mass index of 32.
A client who has a total fat intake of 25% of daily calories.
The Correct Answer is C
A. A client who has a sodium intake of 1,200 mg/day.: A sodium intake of 1,200 mg/day is actually within the recommended range for most adults. Therefore, this client does not require a dietitian’s consultation based on this information alone.
B. A client who has a serum albumin level of 4.5 g/dL.: A serum albumin level of 4.5 g/dL is within the normal reference range. There is no immediate concern with this level, so an interprofessional care conference is not necessary for this client.
C. A client who has a body mass index of 32.: A BMI of 32 is classified as obese, which can increase the risk of various health problems. A dietitian’s input can help address dietary modifications to manage weight and improve health outcomes, making an interprofessional care conference appropriate.
D. A client who has a total fat intake of 25% of daily calories.: A fat intake of 25% is within the acceptable range for most adults and does not immediately warrant a referral to a dietitian unless there are other concerns.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Inspect the incision of a client who is postoperative following a leg amputation is incorrect. Inspecting an incision requires clinical assessment to identify signs of infection, dehiscence, or other complications, which should be performed by a licensed nurse.
B. Evaluate the need to suction the airway of a client who has a new tracheostomy is incorrect. Suctioning the airway of a client with a tracheostomy is a skilled task that requires assessment of the airway and airway management, which should be performed by a nurse.
C. Complete postmortem care for a client who has died is correct. Postmortem care, such as cleaning and preparing the body, is a task that can be delegated to an AP. The AP should not be involved in clinical assessments but can perform routine care under supervision.
D. Feed a client who has difficulty swallowing liquids following a stroke is incorrect. Feeding a client with swallowing difficulties requires careful monitoring and risk assessment for aspiration, which is outside the scope of tasks that can be delegated to an AP without proper training.
Correct Answer is D
Explanation
A. "I will make sure that electrical wires are run under carpeting.": This is not a safe practice. Running electrical wires under carpeting can lead to the wires overheating or becoming damaged, which is a fire hazard.
B. "I will have the heating system inspected once every 3 years.": The heating system should be inspected more frequently than every three years, ideally annually, to ensure safety and proper functioning.
C. "I will have my hearing tested every 2 years.": While hearing should be monitored regularly, this is not a specific home safety measure. A hearing impairment can increase the risk of falls or accidents.
D. "I will make sure that my hot water faucets are color-coded.": This is an important safety measure, particularly for older adults, as it helps prevent burns. Color-coded faucets can help prevent the risk of hot water burns by easily identifying hot and cold water.
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