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2. The registered nurse prepares to conduct a nutritional assessment on Mrs. Var

ID: 248008 • Letter: 2

Question

2. The registered nurse prepares to conduct a nutritional assessment on Mrs. Varner, a 52-year-old Caucasian female who describes herself as "overweight most of my adult life." The client states that her health is good. She works part time as a receptionist and volunteers about 10 hours per week in her church. The nurse obtains Mrs. Varner's height as 64 inches and her weight as 165 pounds. (Learning Objective 8) a. What is the rationale for computing body mass index? What is Mrs. Varner's BMI? b. Calculate her ideal body weight. What is your assessment of her BMI and weight? C. Based on Mrs. Varner's BMI and weight, the nurse measures her waist circumference. Describe the proper procedure for this assessment. d. Mrs. Varner's waist circumference is 38 inches. What is your assessment? e. What laboratory values would the nurse review to evaluate Mrs. Varner's protein levels?

Explanation / Answer

a.BMI provides an estimate of total body fat and the risk of developing weight-related diseases.

Mr.Varner’s BMI is 28.29, as calculated using the formula

BMI= how much you weigh in pounds x 703 ÷ square of how tall you are in inches   Or

BMI= how much you weigh in kilograms ÷ square of how tall you are in meters (BMI = Weight (kg)/Height (m)2

b. Her ideal body weight should be approximately between 117-163 pounds/ 53-74 Kgs. She is in the Overweight range.

c. We can measure the waist circumference following the below steps:

d. Ideally, a woman’s thresholds indicate an increased risk of disease

Mrs. Varner’s waist circumference has crossed the threshold of 88 cms. And so, she is at increased risk for many diseases and health conditions. Waste measurement provides an accurate predictor of Cardiovascular risk, type 2 diabetes, high blood pressure, osteoarthritis, and Body pain and difficulty with physical functioning.

e.Serum proteins that include albumin, transferrin, prealbumin, retinol-binding protein which helps the nurse to understand the level of risk caused by increased weight.

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