The nurse is admitting an older adult client with possible malnutrition. Which parameters are most indicative of the client's nutritional status?

Twenty-four hour food recall, preferences, and allergies.

Body mass index (BMI) and serum albumin level.

Weight loss history and body surface area (BSA).

Triceps skin fold and mid-arm circumference.

Answer and Explanation

The Correct Answer is B

A. Twenty-four hour food recall, preferences, and allergies. While these can provide useful

information about the client’s dietary habits and potential issues, they do not directly measure nutritional status.
B.   Body mass index (BMI) and serum albumin level. BMI gives an indication of body weight relative to height, and serum albumin is a key indicator of protein status and overall nutritional health. Together, they are strong indicators of nutritional status.
C.   Weight loss history and body surface area (BSA). Weight loss history is important, but BSA is not typically used to assess nutritional status.
D.   Triceps skin fold and mid-arm circumference. These measurements assess body fat and muscle mass, which are useful, but BMI and serum albumin provide a more comprehensive picture of overall nutritional status.

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Correct Answer is D

Explanation

A. Cherries and cranberries. These fruits are generally low in potassium and are safe for people with chronic kidney disease (CKD).
B. Apples and blueberries. These fruits are also low in potassium and safe for CKD patients.

C. Carrots and green beans. These vegetables are low in potassium and safe for CKD patients.

D. Avocados and bananas. Both avocados and bananas are high in potassium. Clients with stage 4 CKD need to limit their intake of high-potassium foods to prevent hyperkalemia, which can be dangerous given their impaired kidney function.

A. Low residue diet. B. Mechanical soft diet. C. Pureed regular diet. D. High protein soft diet.

Correct Answer is D

Explanation

A. Low residue diet. This diet is designed to reduce the amount of indigestible material in the digestive tract, which is helpful for certain gastrointestinal conditions but not specifically for managing weight loss and stomatitis in chemotherapy patients.
B. Mechanical soft diet. While this diet includes foods that are easier to chew, it might not provide the necessary high protein content needed for someone who is significantly underweight and has increased nutritional needs due to chemotherapy.
C. Pureed regular diet. This diet consists of pureed foods that are easy to swallow, which is beneficial for those with severe difficulty chewing or swallowing, but it might not provide enough variety or appeal to encourage adequate intake in someone with stomatitis.
D. High protein soft diet. This diet includes soft foods that are easy to chew and swallow, making it suitable for someone with stomatitis. Additionally, it focuses on high protein content, which is essential for tissue repair and maintaining muscle mass, especially important for a client who has lost a significant amount of weight due to chemotherapy.

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The nurse is admitting an older adult client with possible malnutrition. Which parameters are most indicative of the client's nutritional status?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a client admitted with chronic kidney disease advancing to stage 4. The nurse should instruct the client to limit the ingestion of which type of foods?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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