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Concepts of nursing
Nutrition: Assess and Recognize Cues
Question | Answer |
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The nurse is caring for an older adult who lives alone. The nurse becomes concerned that the patient is getting inadequate nutrition based on which neurologic manifestations? | Decreased alertness Slower muscle response time Slower problem-solving |
The nurse is caring for an older adult with Alzheimer disease and a secondary diagnosis of malnutrition. Which neurologic functions affect the patient’s ability to receive adequate nutrition? | Functional Cognitive Memory |
adult patient is being treated in the hospital for hypertensive crisis. Which nutritional modification should the patient make immediately that can positively impact blood pressure? | Decrease salt |
An athletic adolescent girl is being treated for iron deficiency anemia. Which symptoms are expected with this condition? | Fatigue. Dizziness Pale skin |
patient in the telemetry unit is recovering from a heart attack. The nurse teaches the patient that blood flow to part of the heart was occluded by plaque from which substances? | Cholesterol Lipids |
Which complications may result from malabsorption? | Poor wound healing Weight loss Fatigue |
Parents of an infant diagnosed with phenylketonuria (PKU) are informed that the condition is a result of failure to metabolize amino acids after consuming which substance? | Protein |
patient to ER w/persistent bloody diarrhea, vomiting, and stomatitis. Lab values indicate the patient has suffered nutritional imbalance as a result of recent decreased food intake and diarrhea. Which inflammatory bowel disease could be responsible? | Crohn disease |
high school nurse notes girls on cross-country team eat together each day. She notes that one of the girls only consumes an apple at lunch and has experienced a decline in her athletic performance. Which condition does the nurse suspect in this girl? | Anorexia nervosa |
nurse is completing the physical assessment on a patient just admitted to the hospital. The nurse is focusing on the nutritional aspects of this assessment. Which factors should the nurse pay close attention to when examining the patient? | Skin, hair, and dentition |
patient has been admitted to the hospital for malnutrition, and the nurse is explaining the plan of care. When the nurse comes in to take blood for the physical assessment, which statement is most appropriate for the nurse to make to the patient? | "A laboratory study will allow us as your health care providers to thoroughly assess your nutritional status." |
nurse weighs a 13-year-old female patient, asks her how she feels about her body, and collects data about the different types of foods she likes to eat during the day. Which type of assessment is the nurse performing? | Health history |
22yr-old male's weighs self daily. states "how ugly he feels & said that for girls to like him he must be skinny". told the nurse that he takes laxatives on regular interval to maintain his figure. Which info can nurse determine from this? | The patient has negative body self-esteem |
young patient is working with a nurse on nutrition improvement. The nurse tells the patient that there are two main ways to examine dietary habits. The nurse is referring to which two methods? | Food diary and 24-hour recall method |
nurse is working on nutrition with a 64-year-old patient. The nurse asks the patient to describe the types and amounts of food consumed the previous day. Which type of assessment is the nurse completing? | 24-hour recall |
14-year-old female is brought into the emergency department (ED) by her parents. She is 5’3” and weighs 75 pounds. Her parents state that she refuses to eat. Based upon this information, what can the nurse determine about the patient? | The patient might have an eating disorder |
Which factors are included in the DETERMINE self-assessment of nutrition for older adults? | Multiple medications, involuntary weight loss, and tooth loss |
nurse is using anthropometric measurements to assess a 46-year-old patient. The patient is below average in weight, waist circumference, and body mass index (BMI) for height. Which factor does the nurse need to consider in the assessment? | The patient is at risk for malnutrition |
Indicates levels of energy-containing molecules | Blood Glucose |
Identifies the level of oxygen-carrying capacity in the blood | Hemoglobin |
Determines level of kidney function | Blood urea nitrogen (BUN) and creatinine |
Indicates average blood glucose level for the past 2–3 months | Hemoglobin A1C |
pediatric nurse working in a health care provider’s office has a well-child visit with a 5-year-old. Which anthropometric measurements will the nurse most likely take? | Height Weight Head circumference |
A 25-year-old female patient is getting her annual physical. The medical assistant measures her waist at 40 inches. According to North American standards for waist circumference, the patient is at risk for which condition? | Heart disease |
Which physical assessment findings are strongly correlated with a patient's risk for obesity and heart disease? | Waist circumference Body fat percentage Body shape |
unconscious patient in ER by ambulance. Initial assessment include dry yellow skin, noticeable thinness, sunken eyes, & odor of alcohol. malnutrition from alcoholism suspected. Which lab tests would nurse expect to see? | Blood glucose Albumin Blood urea nitrogen (BUN) and creatinine Complete blood count (CBC) |