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mithaprilla mithaprilla
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Posts: 564
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6 years ago
When considering a nutritional assessment, the nurse is aware that the most common anthropometric measurements include:
 
  a. Height and weight.
  b. Leg circumference.
  c. Skinfold thickness of the biceps.
  d. Hip and waist measurements.

Question 2

How should the nurse perform a triceps skinfold assessment?
 
  a. After pinching the skin and fat, the calipers are vertically applied to the fat fold.
  b. The skin and fat on the front of the patient's arm are gently pinched, and then the calipers are applied.
  c. After applying the calipers, the nurse waits 3 seconds before taking a reading. After repeating the procedure three times, an average is recorded.
  d. The patient is instructed to stand with his or her back to the examiner and arms folded across the chest. The skin on the forearm is pinched.

Question 3

The nurse is evaluating patients for obesity-related diseases by calculating the waist-to-hip ratios. Which one of these patients would be at increased risk?
 
  a. 29-year-old woman whose waist measures 33 inches and hips measure 36 inches
  b. 32-year-old man whose waist measures 34 inches and hips measure 36 inches
  c. 38-year-old man whose waist measures 35 inches and hips measure 38 inches
  d. 46-year-old woman whose waist measures 30 inches and hips measure 38 inches

Question 4

In teaching a patient how to determine total body fat at home, the nurse includes instructions to obtain measurements of:
 
  a. Height and weight.
  b. Frame size and weight.
  c. Waist and hip circumferences.
  d. Mid-upper arm circumference and arm span.

Question 5

The nurse is discussing appropriate foods with the mother of a 3-year-old child. Which of these foods are recommended?
 
  a. Foods that the child will eat, no matter what they are
  b. Foods easy to hold such as hot dogs, nuts, and grapes
  c. Any foods, as long as the rest of the family is also eating them
  d. Finger foods and nutritious snacks that cannot cause choking

Question 6

The nurse is reviewing the nutritional assessment of an 82-year-old patient. Which of these factors will most likely affect the nutritional status of an older adult?
 
  a. Increase in taste and smell
  b. Living alone on a fixed income
  c. Change in cardiovascular status
  d. Increase in gastrointestinal motility and absorption

Question 7

A patient tells the nurse that his food simply does not have any taste anymore. The nurse's best response would be:
 
  a. That must be really frustrating.
  b. When did you first notice this change?
  c. My food doesn't always have a lot of taste either.
  d. Sometimes that happens, but your taste will come back.

Question 8

The nurse is performing a nutritional assessment on a 15-year-old girl who tells the nurse that she is so fat. Assessment reveals that she is 5 feet 4 inches and weighs 110 pounds. The nurse's appropriate response would be:
 
  a. How much do you think you should weigh?
  b. Don't worry about it; you're not that overweight.
  c. The best thing for you would be to go on a diet.
  d. I used to always think I was fat when I was your age.

Question 9

The nurse is providing care for a 68-year-old woman who is complaining of constipation. What concern exists regarding her nutritional status?
 
  a. Absorption of nutrients may be impaired.
  b. Constipation may represent a food allergy.
  c. The patient may need emergency surgery to correct the problem.
  d. Gastrointestinal problems will increase her caloric demand.
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Replies
wrote...
6 years ago
The answer to question 1

ANS: A
The most commonly used anthropometric measures are height, weight, triceps skinfold thickness, elbow breadth, and arm and head circumferences.

The answer to question 2

ANS: C
While holding the skinfold, the lever of the calipers is released. The nurse waits 3 seconds and then takes a reading. This procedure should be repeated three times, and an average of the three skinfold measurements is then recorded.

The answer to question 3

ANS: A
The waist-to-hip ratio assesses body fat distribution as an indicator of health risk. A waist-to-hip ratio of 1.0 or greater in men or 0.8 or greater in women is indicative of android (upper body obesity) and increasing risk for obesity-related disease and early death. The 29-year-old woman has a waist-to-hip ratio of 0.92, which is greater than 0.8. The 32-year-old man has a waist-to-hip ratio of 0.94; the 38-year-old man has a waist-to-hip ratio of 0.92; the 46-year-old woman has a waist-to-hip ratio of 0.78.

The answer to question 4

ANS: A
Body mass index, calculated by using height and weight measurements, is a practical marker of optimal weight for height and an indicator of obesity. The other options are not correct.

The answer to question 5

ANS: D
Small portions, finger foods, simple meals, and nutritious snacks help improve the dietary intake of young children. Foods likely to be aspirated should be avoided (e.g., hot dogs, nuts, grapes, round candies, popcorn).

The answer to question 6

ANS: B
Socioeconomic conditions frequently affect the nutritional status of the aging adult; these factors should be closely evaluated. Physical limitations, income, and social isolation are frequent problems that interfere with the acquisition of a balanced diet. A decrease in taste and smell and decreased gastrointestinal motility and absorption occur with aging. Cardiovascular status is not a factor that affects an older adult's nutritional status.

The answer to question 7

ANS: B
With changes in appetite, taste, smell, or chewing or swallowing, the examiner should ask about the type of change and when the change occurred. These problems interfere with adequate nutrient intake. The other responses are not correct.

The answer to question 8

ANS: A
Adolescents' increased body awareness and self-consciousness may cause eating disorders such as anorexia nervosa or bulimia, conditions in which the real or perceived body image does not favorably compare with an ideal image. The nurse should not belittle the adolescent's feelings, provide unsolicited advice, or agree with her.

The answer to question 9

ANS: A
Gastrointestinal symptoms such as vomiting, diarrhea, or constipation may interfere with nutrient intake or absorption. The other responses are not correct.
mithaprilla Author
wrote...
6 years ago
TY
wrote...
6 years ago
You're welcome
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