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 B
Explanation
A. Waist circumference is useful for assessing abdominal obesity but is not the primary factor in calculating BMI.
B. BMI is calculated using the client's height and weight to estimate body fat and assess potential health risks associated with weight.
C. Daily calorie intake is relevant for dietary assessment but is not used in the calculation of BMI.
D. Skinfold thickness measurement is a method for assessing body fat percentage but is not used in the standard BMI calculation.
Correct Answer is B
Explanation
A. While obtaining meals is important, the immediate priority during orientation is to ensure the patient knows how to call for assistance if needed, particularly the nurse, for any urgent concerns.
B. Showing patients how to call the nurse is crucial for immediate access to healthcare professionals for assistance or emergencies.
C. While knowing how to use the telephone can be helpful, the priority typically leans towards ensuring the patient knows how to request immediate assistance.
D. Knowing how to operate the TV is important for patient comfort but is usually considered of lower priority compared to accessing nursing assistance.
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