ATI/NCLEX NUTRITION REVIEW PART 2
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Questions and Answers

A client's BMI is calculated to be 31. According to BMI categories, how should this be interpreted?

  • Overweight
  • Underweight
  • Normal weight
  • Obese (correct)

Which of the following dietary recommendations is most likely to improve a client's oral health, focusing on gum irritation?

  • Decrease consumption of leafy green vegetables.
  • Increase intake of sugary beverages to stay hydrated.
  • Increase intake of foods rich in vitamin C. (correct)
  • Eliminate protein sources from the diet.

Why might athletes have an overestimated BMI, according to the information?

  • Muscle weighs more than fat. (correct)
  • Athletes are typically shorter.
  • Athletes tend to have less fat.
  • Athletes consume more plant-based foods.

What is the primary benefit of consuming foods rich in antioxidants?

<p>Protection of cells from free radicals (C)</p> Signup and view all the answers

A client reports frequent constipation. What dietary change should the nurse recommend to address this issue?

<p>Increase daily fiber intake by eating more whole grains, fruits, and vegetables. (A)</p> Signup and view all the answers

A client is experiencing hair loss and brittle hair. Which nutrient deficiency is most likely contributing to these symptoms?

<p>Insufficient protein intake (C)</p> Signup and view all the answers

Which dietary source would be most effective in increasing a client’s intake of omega-3 fatty acids?

<p>Flax seed, walnuts, and wild salmon (B)</p> Signup and view all the answers

A nurse is using a food frequency questionnaire. What information can be gathered from it?

<p>Client's typical food consumption based on a list of foods. (D)</p> Signup and view all the answers

What role does adequate water intake play in maintaining a healthy diet?

<p>Quenches thirst while preventing overeating (D)</p> Signup and view all the answers

Which of the following assessment findings could indicate inadequate nutrition?

<p>Inflammation in the gums (C)</p> Signup and view all the answers

What is the significance of reviewing a client’s medical history when assessing their nutritional status?

<p>To identify risk factors that may affect their nutritional status. (A)</p> Signup and view all the answers

What health risk increases when an individual has elevated cholesterol levels and high blood pressure, even with an appropriate weight and BMI?

<p>Heart disease (B)</p> Signup and view all the answers

Which of the following statements correctly relates nutrition to energy levels?

<p>A balanced diet provides sustained focus and energy (A)</p> Signup and view all the answers

If a client reports regular consumption of drive-through meals despite taking a daily vitamin, what is the most appropriate nursing response?

<p>&quot;A vitamin won’t replace poor eating habits. Let’s find ways to improve your overall diet.&quot; (C)</p> Signup and view all the answers

How does a diet lacking in vitamin C, zinc, iron, and essential fatty acids affect a client's hair?

<p>Can cause hair loss, thinning, and loss of pigmentation. (D)</p> Signup and view all the answers

What information does a nurse collect through a 24-hour recall?

<p>Client's food consumption in the last 24 hours, including types and portion sizes. (C)</p> Signup and view all the answers

Why is consuming foods with easily identifiable ingredients and eating more "real foods" important for supporting a healthy diet?

<p>They promote portion control, decreased calorie intake, and increased nutrients. (B)</p> Signup and view all the answers

A client wants to improve their skin health through dietary changes. Which dietary approach is most beneficial?

<p>Eat five or more servings of fruits and vegetables per day. (C)</p> Signup and view all the answers

A nurse is discussing fiber intake with a male client. How much fiber should the nurse recommend per day?

<p>38 g (D)</p> Signup and view all the answers

Which of the following findings related to hair health would suggest to a practical nurse that a client requires nutritional guidance.

<p>Brittle hair with noticeable hair loss. (D)</p> Signup and view all the answers

Following data collection, a practical nurse needs to report which finding to the registered nurse regarding client nutrition?

<p>A client's weight has increased significantly. (C)</p> Signup and view all the answers

If a child's BMI is at or above the 95th percentile for their age and sex, how is this classified?

<p>Obesity (B)</p> Signup and view all the answers

What type of foods boosts the immune system due to their high vitamin and nutrient content?

<p>Fresh fruits and vegetables (C)</p> Signup and view all the answers

What should clients who have digestive issues, such as constipation and diarrhea, increase in their diet?

<p>Daily fiber intake (A)</p> Signup and view all the answers

Besides dietary changes, what additional lifestyle changes can help manage elevated cholesterol and blood pressure levels?

<p>Regular exercise and quitting tobacco use (B)</p> Signup and view all the answers

Flashcards

Body Mass Index (BMI)

A measure of body fat based on height and weight.

Antioxidants

Plant-based compounds that protect cells from damage.

Omega-3 Fatty Acids

Essential fats that support brain health and reduce inflammation.

Nutritional Assessment

The collection and review of a client’s dietary habits to determine if necessary nutrients are being consumed.

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24-Hour Recall

A method of collecting client dietary information by asking what was consumed in the prior 24 hours.

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Food Frequency Questionnaire

A questionnaire that determines typical food consumption based on a list of foods.

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Healthy Diet

Eating real foods while cutting processed food intake supports a healthy diet.

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Inadequate Nutrition

Can indicate that a person is not getting proper nutrition in their daily diet. Fluctuations in a person’s weight, teeth, hair, skin, brain, digestion, and immune system can all be driven by this.

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Study Notes

  • Adequate nutrition is reflected in a person's physical appearance, weight, blood pressure, and cholesterol levels.
  • Maintaining a healthy weight supports energy levels, prevents premature aging, and reduces health risks.
  • A Body Mass Index (BMI) calculator can assess if a person's weight is healthy.

Calculating BMI

  • BMI is calculated using weight in pounds and height in inches.
  • Divide weight by height, repeat the division with the same numbers, then multiply the result by 703.
  • The formula remains consistent, but interpretation varies for children and teens, considering age and sex.
  • Obesity in children and adolescents is defined as a BMI at or above the 95th percentile for their age and sex group.
  • Example: A person who is 5 feet 4 inches (64 inches) and weighs 170 lbs has a BMI of 29.17.
  • BMI = weight (lb) / [height (in)]2 x 703

BMI Categories

  • The BMI categories are underweight, normal weight, overweight, and obese.
  • Underweight: Less than 18.5
  • Normal weight: 18.5 to 24.9
  • Overweight: 25 to 29.9
  • Obese: 30 or greater
  • BMI may overestimate healthy but lean individuals, and underestimate those with excess adipose tissue.
  • Elevated cholesterol and blood pressure can indicate inadequate nutrition, even with a normal BMI.
  • To maintain good health, one should eat a healthy diet, exercise, lose weight if needed, and avoid smoking or tobacco.
  • Adequate nutrition will help maintain appropriate weight, cholesterol levels and blood pressure.

Antioxidants

  • Antioxidants from plant-based foods (vegetables, whole grains, fruits, nuts, seeds) protect cells from free radicals, which can cause cancer and heart disease.

Protein

  • Adequate protein prevents brittle hair and hair loss.
  • Nutritional status can be assessed by observing hair and skin condition.

Energy Levels

  • Balanced meals with enough calories and nutrients support concentration and energy.
  • Prioritizing real foods with simple ingredients over processed options promotes better nutrition, portion control, and increased nutrient intake.
  • Adequate water intake can prevent overeating by distinguishing thirst from hunger.

Indicators of Inadequate Nutrition:

  • Weight fluctuations
  • Dental problems
  • Hair and skin issues
  • Cognitive difficulties
  • Digestive problems
  • Immune system impairments

Oral Health

  • Poor diet can cause gum inflammation, bleeding, and cavities.
  • Too much sugar increases cavity risk.
  • Vitamin C deficiency can irritate gums.
  • Improved oral health can be achieved by eating foods like tomatoes, leafy greens, strawberries, and potatoes to increase vitamin C intake while decreasing sugary beverages/food intake.

Hair Health

  • Insufficient protein leads to brittle hair and hair loss.
  • Deficiencies in vitamin C, zinc, iron, and essential fatty acids can impact hair health.
  • Salmon, eggs, vegetables, fruits, seeds, and nuts promote healthy hair.

Skin Health

  • A nutrient-rich diet can delay signs of skin aging.
  • Consuming vitamins A, C, D, and E, and eating at least five servings of fruits and vegetables daily improves skin appearance.

Brain Health

  • Adequate omega-3 fatty acids are needed for brain health.
  • Flax seed, walnuts, fish oil, and wild salmon increase omega-3 intake and prevent fatigue, memory loss, and poor concentration.
  • Omega-3 supplements may be necessary after consulting with a healthcare provider.

Digestive Health

  • Constipation and diarrhea can indicate insufficient fiber intake.
  • Increase fiber intake with whole grains, nuts, seeds, fruits, and vegetables.
  • Women should aim for 25 g of fiber daily, while men should aim for 38 g.

Immune System Health

  • Nutrients, protein, and calories facilitate healing and prevent infection.
  • Foods high in vitamins A, C, and E, iron, zinc, and folic acid boost the immune system.
  • Fresh fruits, vegetables, and whole grains support a healthy immune system.
  • Supplements should not replace dietary choices.

Dietary Habits

  • A vitamin does not replace poor eating habits; focus on improving the overall diet by finding ways to improve the overall diet.

Nutritional Assessment

  • A nutritional assessment determines if a client consumes the necessary nutrients and identifies any nutrition-related health issues.
  • A 24-hour recall records the client’s food intake, including foods and portion sizes, within the past 24 hours.
  • A food frequency questionnaire determines typical food consumption based on a list of foods.

Nursing Interventions

  • Licensed practical nurses (LPNs) should gather data for the client to note findings of adequate or inadequate nutrition and not new, worsening, or improving findings.

Observations

  • Inspect teeth, hair, and skin, check weight, and note any unexpected findings.
  • Height and weight measurements are used to calculate BMI.
  • Ask about digestive issues that indicate dietary changes are needed.
  • Review blood pressure and cholesterol levels to determine if dietary recommendations are required.
  • Review medical history for risk factors that may affect client's nutritional status such as appetite, decreased hunger, illness, or medications.
  • Be aware eating disorders such as anorexia nervosa, bulimia nervosa, binge eating disorder, and avoidant or restrictive food intake disorder can affect client’s nutritional status.
  • Report unexpected findings to the provider.

Nursing Actions

  • Practical nurses (PNs) should report unexpected abnormal findings to the registered nurse (RN) or provider after gathering client information regarding nutritional status.

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Description

Learn about Body Mass Index (BMI) and its significance in assessing healthy weight. Explore BMI calculation methods, interpretation for adults, children, and teens, and the different BMI categories (underweight, normal weight, overweight, and obese). Discover how BMI relates to overall health.

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