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. "The bruises on my arms are all gone." This statement is more indicative of adequate Vitamin C intake, as Vitamin C is essential for collagen synthesis and wound healing, which can affect bruising.
B. "My feet don't tingle like they used to." Tingling in the extremities is often associated with deficiencies in B vitamins, particularly B12, rather than Vitamin A.
C. "My tummy seems so much smaller now." This statement does not directly relate to Vitamin A status. It could refer to a variety of other health improvements or conditions.
D. "I can see at night when I wake up now." Night vision improvement is a classic sign of adequate Vitamin A intake, as Vitamin A is crucial for the maintenance of normal vision, particularly in low-light conditions.

Correct Answer is ["539"]

Explanation

6 ounces of apple juice = 177 mL (1 ounce = 29.57 mL)
1 cup of water = 240 mL (1 cup = 240 mL)
1 cup of soup = 240 mL
6 ounces of tea = 177 mL
12 ounces of carbonated beverage = 355 mL

Total intake: 177 + 240 + 240 + 177 + 355 = 1189 mL

Total output:

Voided at 0830 = 250 mL
Vomitus at 1300 = 150 mL
Voided at 1400 = 250 mL

Total output: 250 + 150 + 250 = 650 mL

Fluid balance: Total intake - Total output = 1189 - 650 = 539 mL

Therefore, the client's current fluid balance is 539 mL.

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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

A malnourished child is receiving several nutritional supplements. Which statement by the child indicates that an adequate amount of Vitamin A is being provided?

Correct Answer is D

Explanation

Correct Answer is ["539"]

Explanation

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