Difficulty: Medium
Average Score: 85%
Simulated
A nurse is admitting a client who has experienced a weight loss of 11 kg (25 lb) in the past 3 months. The client weighs 40 kg (88 lbs) and believes she is fat. Which of the following aspects of care should the nurse consider the first priority for this client?
Correct answer
A
Rationale
The correct answer is A: Identify the client's nutritional status. The first priority for this client is to assess their nutritional status to determine if the weight loss is due to malnutrition or an underlying health issue. This is crucial for developing an appropriate care plan.
Choice B (Provide a structured environment) is not the first priority as it does not address the client's immediate health concerns. Choice C (Plan a therapeutic diet) is premature without first assessing the client's nutritional status. Choice D (Request a mental health consult) is important but should come after addressing the client's physical needs.
Choice B (Provide a structured environment) is not the first priority as it does not address the client's immediate health concerns. Choice C (Plan a therapeutic diet) is premature without first assessing the client's nutritional status. Choice D (Request a mental health consult) is important but should come after addressing the client's physical needs.