In performing health screening for a postmenopausal female client, which assessment data indicates the need for referral to a nutritionist?
Reference Range
Total Calcium [Reference Range: Adult 9 to 10.5 mg/dL or 2.25 to 2.62 mmol/L]
High Density Lipoproteins (HDL) [Reference Range: Female: greater than 55 mg/dL or greater than 0.91 mmol/L] Glycosylated haemoglobin (A1C) Reference Range: 4% to 5.9%]
Serum HDL (high-density lipoprotein) of 35 mg/dl (0.91 mmol/L).
Serum HbA1c (glycosylated haemoglobin) of 4.8% (0.05).
BMI (body mass index) of 22 kg/m2.
Total serum calcium of 10 mg/dl (2.5 mmol/L).
The Correct Answer is A
Choice A
Serum HDL (high-density lipoprotein) of 35 mg/dL (0.91 mmol/L). Among the options provided, a serum HDL level of 35 mg/dL (0.91 mmol/L) is the assessment data that indicates the need for referral to a nutritionist. HDL is often referred to as "good" cholesterol because it helps remove excess cholesterol from the bloodstream, reducing the risk of cardiovascular disease. In this case, the HDL level of 35 mg/dL is below the recommended reference range for females (greater than 55 mg/dL or greater than 0.91 mmol/L), which could suggest a potential need for dietary and lifestyle interventions to improve cardiovascular health.
Choice B
Serum HbA1c (glycosylated haemoglobin) of 4.8% (0.05) is incorrect. This HbA1c level is within the normal reference range (4% to 5.9%) and indicates good blood sugar control.
Choice C
BMI (body mass index) of 22 kg/m² is incorrect. A BMI of 22 is within the normal weight range and might not necessarily indicate the need for a nutritionist referral.
Choice D
Total serum calcium of 10 mg/dL (2.5 mmol/L) is incorrect. This calcium level is within the normal reference range and might not require a nutritionist referral, unless there are other specific concerns related to calcium intake.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A
The consumption of dairy-based products should be eliminated from the diet. The statement is false Dairy products, especially low-fat or fat-free options, are included in the DASH diet as sources of calcium and other important nutrients. The DASH diet encourages moderation rather than elimination of dairy.
Choice B
The consumption of protein products should come from lean meats, nuts, and dried beans. The statement is correct. The DASH diet encourages including protein sources that are low in saturated fat and high in nutrients. Lean meats, nuts, and dried beans are examples of protein sources that fit this criterion.
Choice C
The consumption of bread products should be gluten-free. The statement is false The DASH diet does not specifically focus on gluten-free options. It emphasizes whole grains as a source of fibre, which is beneficial for heart health.
Choice D
The consumption of fruit and/or vegetables should total between 4 to 6 servings. The statement is false The DASH diet actually encourages a higher intake of fruits and vegetables, aiming for 8 to 10 servings per day. These foods are rich in potassium, magnesium, and fibre, which contribute to the diet's blood pressure-lowering effects.
Correct Answer is ["A","B","D"]
Explanation
1 whole-wheat tortilla, 4 oz chicken breast, 4 of an avocados, 1/4 cup of salsa
1030
1 cup coffee, 2 tbsp half and half, 1 small apple, 1 tbsp almond butter
1200
1 cup spinach, 4 oz ground turkey with taco seasoning. 1/4 cup cheddar cheese, 2 bananas
1500
6 cashews
1900
1 cup regular soda, 6 oz white fish, 1/2 white potato, 2 tbsp butter, 1⁄2 cup green beans
2200
1⁄2 cup fat-free yogurt, 1/4 cup blueberries
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