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. Brittle hair is more associated with protein deficiencies or inadequate hydration rather than insufficient fiber intake.
B. Bleeding gums can be related to vitamin deficiencies (like vitamin C), poor oral hygiene, or gum disease but not primarily to inadequate fiber intake.
C. Constipation is a common consequence of inadequate fiber intake, as fiber helps add bulk to stools, promoting regular bowel movements.
D. Memory loss is not typically a direct result of insufficient fiber intake; it may be associated with various neurological or age-related conditions.
Correct Answer is B
Explanation
A. Lactose intolerance is more related to the absence of the enzyme lactase, commonly found in individuals who have a reduced ability to digest lactose (milk sugar), regardless of their dietary choices.
B. Vegan diets may lack sufficient iron intake as plant-based sources of iron (non-heme iron) are not as readily absorbed by the body compared to heme iron found in animal products. This can put vegans at a higher risk of iron deficiency.
C. Diabetes risk is influenced by various factors, including genetics and lifestyle, rather than specifically by following a vegan diet.
D. Pneumonia risk is not directly associated with following a vegan diet but can be influenced by overall health, immune function, and exposure to pathogens.
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