The nurse is conducting a physical assessment for a preschool-age child. When plotting the child's body mass index (BMI) the nurse notes that the child's is at the 90th percentile. Which action by the nurse is appropriate?
1. Referring the child to a nutritionist
2. Conducting a developmental assessment
3. Assessing the child's level of activity
4. Checking a blood glucose level
3
Explanation:
1. While the nurse will need to assess a detailed dietary intake for the child it is not appropriate to refer the child to a nutritionist at this time.
2. There is no reason for the nurse to conduct a developmental assessment based on the current assessment data.
3. A child with a BMI that is 85% or greater should have a detailed dietary intake assessment conducted along with assessing the child's level of activity.
4. The current assessment data do not support the need to check the child's blood glucose level.
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