A nurse is assessing a client's nutritional status during a routine check-up. The client reports significant weight loss over the past three months without any changes to their exercise routine. Which action is most appropriate for the nurse to take next?
Monitor the client’s weight weekly to observe ongoing changes over time.
Refer the client to a dietitian for specialized nutritional evaluation.
Assess the client’s dietary intake to determine potential nutritional deficiencies.
Recommend the client increase their caloric intake without further assessment.
The correct answer is to assess the client's dietary intake because identifying what the client is eating provides critical information about their nutritional habits, caloric intake, and potential deficiencies. By understanding their intake, the nurse can determine if the weight loss is due to inadequate nutrition or another underlying issue. Other options, such as monitoring weight changes, can offer supportive data but fail to directly assess and address the root cause. Referring the client to a specialist without initial assessment delays interventions that could be managed at the primary level if the cause is dietary.
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Physiological Integrity
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