A client is in the family practice clinic. Today the client weighs 186.4 pounds (84.7 kg). Six months ago the client weighed 211.8 pounds (96.2 kg). What action by the nurse is best?
a. Ask the client if the weight loss was intentional.
b. Determine if there are food allergies or intolerances.
c. Perform a comprehensive nutritional assessment.
d. Perform a rapid bedside blood glucose test.
ANS: A
This client has had a 12% weight loss. The nurse first determines if the weight loss was intentional. If not, then the nurse proceeds to a comprehensive nutritional assessment. Food intolerances are part of this assessment. Depending on risk factors and other findings, a blood glucose test may be warranted.
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