Jarvis Chapter 12: Nutrition Assessment Quiz

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Questions and Answers

Which of the following statements is true regarding breastfeeding for women who are HIV positive?

Women who are HIV positive should not breast-feed because HIV can be transmitted through breast milk. (correct)

She can breast-feed as long as she uses pumped breast milk.

It is safe for women who are HIV positive to breast-feed.

There is not enough information to know whether it would be safe for her to breast-feed.

What does a magenta-colored tongue indicate during an assessment of a patient?

Vitamin C deficiency.

Vitamin D and calcium deficiency.

Riboflavin deficiency. (correct)

Iron deficiency.

Which of the following are risk factors for metabolic syndrome? Select all that apply.

Blood pressure reading of 140/90 mm/Hg (correct)

Triglyceride level of 120 mg/dl

Fasting plasma glucose level less than 110 mg/dl

Blood pressure reading of 110/80 mm/Hg

Fasting plasma glucose level greater than or equal to 100 mg/dl (correct)

The nurse recognizes that which of the following persons is at greatest risk for undernutrition?

A 5-month-old infant Signup and view all the answers

When assessing a patient's nutritional status, the nurse recalls that the best definition of optimal nutritional status is:

Sufficient nutrients to provide for daily body requirements and for increased metabolic demands. Signup and view all the answers

Which of the following statements represents accurate information for a mother of a 1-year-old child regarding nutrition?

It is important to maintain adequate fat and caloric intake. Signup and view all the answers

Which information is appropriate for the nurse to share with a pregnant woman interested in breast-feeding?

Breast milk provides the nutrients necessary for growth as well as natural immunity. Signup and view all the answers

Which of the following represents information the nurse should discuss with a mother and her 13-year-old daughter concerning recent weight gain?

Suggestions for snacks high in protein, iron, and calcium Signup and view all the answers

Which of the following problems related to nutritional status might the nurse expect to find in a 30-year-old unemployed immigrant from an underdeveloped country?

Osteomalacia Signup and view all the answers

During a nutritional assessment of a 22-year-old male refugee, the nurse must remember to:

Clarify what is meant by the term 'food.' Signup and view all the answers

Which of the following statements is true concerning the nutritional assessment?

It identifies patients who are at risk of malnutrition. Signup and view all the answers

The initial nutritional screening for a patient with no prior nutrition-related problems should include which of the following?

Measurement of weight and weight history Signup and view all the answers

A patient is asked to indicate on a form how many times he eats a specific food. This would describe which of the following methods for obtaining dietary information?

Food frequency questionnaire Signup and view all the answers

What concern exists regarding the nutritional status of a 68-year-old woman who is complaining of constipation?

The absorption of nutrients may be impaired. Signup and view all the answers

During a nutritional assessment, why is it important for the nurse to ask a patient what medications he or she is taking?

Certain drugs can affect the metabolism of nutrients. Signup and view all the answers

The nurse's best response to a patient who says that his food just doesn't have any taste anymore would be:

"When did you first notice this change?" Signup and view all the answers

The nurse's appropriate response for a 15-year-old girl who thinks she is 'so fat' and weighs 110 pounds would be:

"How much do you think you should weigh?" Signup and view all the answers

Which of the following foods are recommended for a mother discussing appropriate foods with her 3-year-old child?

Finger foods and nutritious snacks that can't cause choking. Signup and view all the answers

Which factor is most likely to affect the nutritional status of an 82-year-old person?

Living alone on a fixed income Signup and view all the answers

The most common anthropometric measurements include:

Height and weight. Signup and view all the answers

If a 29-year-old woman weighs 146 pounds and her ideal body weight is 120 pounds, how would the nurse classify her weight?

Obese Signup and view all the answers

To perform a triceps skinfold assessment, the examiner would do which of the following?

After applying the calipers, wait 3 seconds before taking a reading. Repeat the procedure three times. Signup and view all the answers

When assessing muscle mass and fat stores on a 40-year-old woman, the nurse would use:

Mid arm muscle area. Signup and view all the answers

What is important when evaluating mid upper arm circumference and triceps skinfold of an 82-year-old man?

These measurements may not be accurate because of changes in skin and fat distribution. Signup and view all the answers

What measurement would be necessary to include in the assessment for a patient hospitalized frequently for chronic lung disease?

Mid arm muscle area Signup and view all the answers

Which best describes the technique for measuring frame size?

With the patient's right arm extended forward and the elbow extended, measure the distance from fingertips to the condyle of the humerus. Signup and view all the answers

In teaching a patient how to determine total body fat at home, the nurse includes instructions to obtain measurements of:

Waist and hip circumferences. Signup and view all the answers

Which patient would be at increased risk for obesity-related diseases?

A 46-year-old woman whose percent ideal body weight is 130%, waist is 30 inches, and hips 38 inches. Signup and view all the answers

What measurement will the nurse use to determine if an 8-year-old boy's weight gain is a problem?

Waist-to-hip ratio. Signup and view all the answers

Which statement is true in determining the body mass index of an 80-year-old man who is confined to a wheelchair?

Height measurements may not be accurate because of changes in bone. Signup and view all the answers

To verify suspected iron deficiency, which laboratory studies should the nurse obtain for a 30-year-old woman?

Hemoglobin and hematocrit. Signup and view all the answers

What is important for patient teaching related to laboratory results for a 50-year-old woman with high cholesterol?

Information regarding a low saturated fat diet. Signup and view all the answers

In assessing a patient who has lost weight due to a quick loss diet, which laboratory report will the nurse want to obtain?

Total lymphocyte count. Signup and view all the answers

To obtain accurate nitrogen balance and creatinine-height index, what must the nurse ensure?

An accurate 24-hour urine specimen has been collected. Signup and view all the answers

Which statement regarding the results of laboratory tests is true?

Variations based on biocultural differences may exist. Signup and view all the answers

What would the nurse expect to find when performing an assessment on a 49-year-old woman with dysphagia and imbalanced nutrition?

Inadequate food intake. Signup and view all the answers

What would the nurse expect to find in a 21-year-old woman on a low-protein liquid diet for 2 months?

Decreased serum albumin. Signup and view all the answers

What physiological change directly affects the nutritional status of the elderly?

Slowed gastrointestinal motility. Signup and view all the answers

Which intervention is most appropriate for planning nutritional interventions for a healthy, active 74-year-old woman?

Decrease the number of calories she is eating because of the decrease in energy requirements from loss of lean body mass. Signup and view all the answers

Which of the following statements is true regarding routine laboratory testing?

In infancy and childhood, laboratory tests should be performed at each well-child check-up, regardless of whether the child is exhibiting signs of illness that affect nutritional status. Signup and view all the answers

Which individual is most likely to have an anergic response when assessing skin test antigens?

An individual with malnutrition. Signup and view all the answers

Which body composition-measuring tool measures fat and lean body mass and bone mineral density?

Dual-energy x-ray (DEXA) absorptiometry Signup and view all the answers

Which of the following measurements is an early indicator of protein malnutrition?

Serum albumin Signup and view all the answers

When evaluating the serum albumin level of a 65-year-old man brought in dazed and incoherent, what must the nurse keep in mind?

Low serum albumin levels may be caused by reasons other than protein-calorie malnutrition. Signup and view all the answers

Which condition is due to an inadequate intake of both protein and calories?

Marasmus Signup and view all the answers

Study Notes

Nutritional Assessment and Undernutrition

Infants, particularly those under 6 months, are at heightened risk for undernutrition.
Optimal nutritional status is defined by the ability to meet both daily and increased metabolic nutritional demands.

Infant and Child Nutrition

Maintaining adequate fat and caloric intake is crucial for infants, especially around 1 year of age.
Breastfeeding is recommended for the first 2 years, providing necessary nutrients and immunity.

Adolescent Nutritional Concerns

Nutritional guidance for teenagers should include high-protein, iron, and calcium snacks rather than restrictive diets.
Adolescent girls may misperceive their body image; accurate assessment is vital.

Underlying Health Conditions

Immigrants from underdeveloped countries may face issues such as osteomalacia due to nutritional deficiencies.
Nutritional assessments require clarification of food terminology for diverse populations.

Importance of Nutritional Assessments

Nutritional assessments are critical to identify those at risk of malnutrition, not limited to overweight individuals.
Initial screening includes basic measurements like weight and medical history.

Dietary Information Collection

Different methods exist for collecting dietary intake data including food frequency questionnaires and 24-hour recalls.

Nutritional Concerns in the Elderly

Constipation in older adults may indicate impaired nutrient absorption.
Measurement techniques must be adjusted for elderly patients due to physiological changes.

Body Measurements and Nutritional Health

Common anthropometric measurements include height and weight.
Use of triceps skinfold and mid-arm circumference helps evaluate muscle and fat stores.

Laboratory Assessments

Serum levels of hemoglobin and hematocrit are essential for identifying potential iron deficiencies.
Understanding laboratory variations based on biocultural differences is important for accurate analysis.

Risk Factors and Conditions

Anergic responses in skin tests indicate potential malnutrition, especially in older adults.
Serum albumin is a key indicator of protein malnutrition, requiring careful interpretation.

Special Populations and Breastfeeding

HIV-positive women are generally advised against breastfeeding due to transmission risks.
Children experiencing erratic eating habits, particularly fast food consumption, may exhibit various health complaints.

Metabolic Syndrome and Associated Risks

Key risk factors for metabolic syndrome include elevated fasting plasma glucose and hypertension.
Understanding these risks aids in effective interventions for obese patients.

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Description

Test your knowledge on nutrition assessment with these flashcard questions from Jarvis Chapter 12. Review key concepts regarding undernutrition risk factors and definitions of optimal nutritional status. Perfect for nursing students and professionals looking to refresh their understanding.