The registered nurse prepares to conduct a nutritional assessment on Mrs. Verner
ID: 275783 • Letter: T
Question
The registered nurse prepares to conduct a nutritional assessment on Mrs. Verner, 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 10hours per week in her church. The nurse obtains Mrs. Varner's height as 64inches and her weight as 165 pounds ( Learning objective 8).
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 assets 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 the assessment.
d. Mrs, Verner's waist circumference is 38 inches. What is your assessment?
e. What laboratory values would the nurse review to evaluate Mrs. Vermer's protein level?
Explanation / Answer
a) By measuring body mass index (BMI) we can easily calculate if we are under weight or obese & thus take proper nutrients to gain ideal weight & thus ultimately reduce the risk associated with those conditions.
BMI = Weight (kg)/Height (m)2
Mrs. Varner's weight = 165 lb = 74.8427 kg & height = 64" = 1.6256 m
Therefore, BMI = 74.8427 / (1.6256)2 = 28.3 (Overweight)
b) Based on the Robinson formula (1983), her ideal weight is 123.0 lb
Based on the Miller formula (1983), her ideal weight is 129.1 lb
Based on the Devine formula (1974), her ideal weight is 120.6 lb
Based on the Hamwi formula (1964), her ideal weight is 119.7 lb
Based on the healthy BMI recommendation, her recommended weight is 107.8 lbs - 145.6 lb
Robinson formula (1983) for female: 49 kg + 1.7 kg per inch over 5 feet
Miller formula (1983) for female: 53.1 kg + 1.36 kg per inch over 5 feet
Devine formula (1974) for female: 45.5 + 2.3 kg per inch over 5 feet
Hamwi formula (1964) for female: 45.5 kg + 2.2 kg per inch over 5 feet
WHO recommended healthy BMI range is 18.5 - 25 for both male and female
c) Procedure for proper measuring of waist circumference-
d) Generally for woman if waist circumference is at 80 cm or more then risk is increased for disease development & if it is at 88 cm or more then there is high risk for disease development. For Mrs Verner's case her waist circumference is 38" or 96.52 cm. So, she is at high risk for disease development.
e) Nurse would conduct the total protein test, which measures the total amount albumin and globulin in the body to determine the protein level in Mrs Verner body.