RN Nursing · Inflammatory Bowel Disease · Practice question
A nurse is caring for a client who has Crohn's disease. The nurse calculates that the client's BMI is 17.2. The nurse should document the client's weight status as being within which of the following categories?
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Overweight
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Obesity class 1
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✓
Underweight
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Healthy weight
Answer & explanation
Correct: Underweight
Body mass index is calculated as weight in kilograms divided by height in meters squared, and the resulting value is interpreted according to established categories. A BMI below 18.5 is classified as underweight. A BMI from 18.5 to 24.9 is considered healthy weight. A BMI from 25.0 to 29.9 is classified as overweight. Obesity class 1 spans 30.0 to 34.9, obesity class 2 spans 35.0 to 39.9, and obesity class 3 is 40 or above. This client's BMI of 17.2 falls below 18.5, placing the client firmly in the underweight category. This finding is clinically relevant in the context of Crohn's disease because chronic intestinal inflammation, malabsorption of nutrients, decreased appetite, and frequent diarrhea all contribute to nutritional deficits and unintentional weight loss. Documenting the client as overweight or obese would be factually incorrect given the BMI value. Healthy weight would require a BMI of at least 18.5. The nurse should document the status as underweight and initiate appropriate nutritional screening and intervention referrals.
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