The nurse completes a nutritional assessment with assigned clients. For which client is an unplanned change in weight the most significant and has the highest priority for nursing interventions?
A) The client weighed 111 and lost 5 pounds in the last month
B) The client weighed 200 pounds and lost 9 pounds in the last month
C) The client weighed 135 pounds and lost 14 pounds during the last 6 months
D) The client weighed 155 pounds and lost 14 pounds during the last 6 months

Question

Quizplus · Accepted Answer

An unplanned weight loss for a client of 5% or more over the course of 1 month, or 10% or more over the course of 6 months, is significant and requires interventions. The client, who weighed 135 pounds and lost 14 pounds during the last 6 months, had a weight loss of 10.4%. This client's weight loss is significant and would require immediate intervention. The client, who weighed 155 pounds and lost 14 pounds over 6 months, had a weight loss of 9%. The client, who weighed 200 pounds and lost 9 pounds during the last month, had a weight loss of 4.5%. The client, who weighed 111 pounds and lost 5 pounds in the last month, had a weight loss of 4.5%.

The Nurse Completes a Nutritional Assessment with Assigned Clients