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. 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?

Answer 1

a) Weight of Mrs. Varner - 165lbs = 165× 0.45 = 74.25kg

Height of Mrs. Varner - 64inchs = 1.62m

Rationale for the BMI is to measure the fat content in the body

= Weight in kg / height in meter square

= 74.25 / 1.62× 1.62

= 74.25 / 2.62

= 28.3

b) Ideal body weight (IBW) (women) = 45.5 kg + 2.3 kg x (height in inches - 60)

= 45.5 kg + 2.3kg × ( 64 - 60 )

= 45.5 kg+ 2.3kg (4)

= 47.8 × 4

c) Waist circumference assessment steps :-

Start at the top of your hip bone, then bring the tape measure all the way around your body, level with your belly button.

Make sure it's not too tight and that it's straight, even at the back. Don't hold your breath while measuring.

Check the number on the tape measure right after you exhale.

d) Waist circumference of Varner is 38 inches

For women waist circumference more than 35 inches is abnormal and should consult a physician for next step including weight loss etc