For a nurse to perform a nutritional assessment, which of the following is necessary?
Write dietary goals (objectives).
Collaborate with client to determine interventions.
Develop a nutritional nursing diagnosis.
Physical measures of a person's size, form, and functional capacities.
The Correct Answer is D
A. Writing dietary goals or objectives usually comes after the assessment phase when the nurse and client set specific objectives based on the assessment findings.
B. Collaborating with the client to determine interventions is a crucial step in the planning phase that follows the assessment phase.
C. Developing a nutritional nursing diagnosis is part of the diagnostic phase and might come after the assessment, where data are analyzed to identify nutrition-related problems.
D. Physical measures of a person's size, form, and functional capacities, including height, weight, body mass index (BMI), skinfold thickness, etc., are fundamental aspects of a nutritional assessment.
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Related Questions
Correct Answer is C
Explanation
A. Wheat toast with a peeled apple contains fiber from the apple but might have less fiber compared to other whole-grain options.
B. A biscuit and grapefruit might provide some fiber from the grapefruit, but the biscuit might not be high in fiber.
C. Shredded wheat is a whole-grain cereal that tends to be higher in fiber, and adding a banana further increases the fiber content.
D. White toast with an orange provides some fiber from the orange, but white toast itself lacks significant fiber content compared to whole-grain options like shredded wheat.
Correct Answer is C
Explanation
A. The director of nurses may oversee the nursing staff but might not directly verify orders.
B. While the LPN/LVN may have specific responsibilities, verifying orders typically falls under the role of an RN with administrative responsibilities.
C. An administrative RN often verifies or reviews newly transcribed orders for accuracy and compliance with facility policies.
D. The unit secretary might assist with clerical tasks, but verifying orders is usually within the nursing scope.
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