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. Chronic alcohol use can impair the absorption and utilization of several vitamins, including B vitamins, leading to deficiencies.
B. Cystic fibrosis primarily affects the digestive system but is not directly associated with vitamin B deficiencies.
C. Phenytoin, an antiseizure medication, may interfere with vitamin D metabolism but is not strongly associated with vitamin B deficiencies.
D. Rifampin, an antibiotic used for tuberculosis, may interfere with the absorption of some nutrients, but it's not a primary concern for causing vitamin B deficiencies.
Correct Answer is C
Explanation
A. Brittle hair is more commonly associated with nutritional deficiencies such as protein or biotin, not specifically with vitamin C deficiency.
B. Constipation is not typically a direct symptom of vitamin C deficiency.
C. Vitamin C deficiency often leads to scurvy, a condition characterized by bleeding gums, easy bruising, and weakness.
D. Memory loss is not a common symptom of vitamin C deficiency.
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