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. Dark-colored urine is a common sign of dehydration, indicating concentrated urine due to reduced water intake or excessive fluid loss.
B. Dehydration typically causes dry or parched skin rather than moist skin.
C. Distended neck veins are not typical findings associated with dehydration; instead, they might indicate other conditions like heart failure.
D. Dehydration tends to cause a drop in blood pressure rather than high blood pressure due to reduced fluid volume.
Correct Answer is C
Explanation
A. Mushrooms are used in Asian cuisine but are not particularly known as a significant source of protein.
B. Bamboo shoots are a common vegetable used in Asian dishes but do not contain substantial protein content.
C. Soybeans are a staple in Asian diets and are renowned for being a high-quality plant-based protein source.
D. Rice is a staple carbohydrate in many Asian cuisines but is not a significant source of protein.
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