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 A
Explanation
A. 21 lbs
This is the correct answer. Infants typically triple their birth weight by 1 year. A baby who weighed 7 lbs at birth would generally weigh around 21 lbs at 1 year.
B. 28 lbs
This weight is too high for a typical 1-year-old. It is more in line with the weight of a 2-year-old. At 1 year, most babies will weigh around 21 lbs, so 28 lbs would be above the typical weight range.
C. 14 lbs
This weight is too low for a 1-year-old. By 1 year, most babies will have tripled their birth weight, which in this case would be 21 lbs. A weight of 14 lbs would be considered below average for a 1-year-old.
D. 32 lbs
This weight is too high for a 1-year-old. While some babies may gain weight faster than others, a 1-year-old who weighed 7 lbs at birth would typically not weigh 32 lbs. This would be unusually heavy for a 1-year-old.
Correct Answer is D
Explanation
A. Sending valuables home with a family member might not be feasible or safe in an emergency situation.
B. Locking valuables in the narcotics cabinet is not appropriate; this cabinet is typically designated for medication storage, not personal items.
C. Placing valuables in the patient's closet doesn't ensure their security; it's not a designated secure area.
D. Using a valuables envelope and securing them in the agency safe ensures the security of the patient's belongings while they are hospitalized.
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