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RN Nursing · Nutrition and Oral Hydration · 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?

Answer & explanation

Correct: Underweight

Body mass index classification uses standardized ranges to categorize weight status. A BMI of 17.2 falls below 18.5, which is the threshold for the underweight category. The standard BMI classifications are: underweight is below 18.5, healthy weight is 18.5 to 24.9, overweight is 25.0 to 29.9, and obesity class 1 is 30.0 to 34.9. This is clinically significant for a client with Crohn's disease, as chronic inflammation, malabsorption, decreased appetite, and frequent diarrhea all contribute to nutritional deficiencies and weight loss, making undernutrition a common complication. Healthy weight would require a BMI between 18.5 and 24.9, which this client does not meet. Overweight would require a BMI of 25.0 or above, and obesity class 1 would require a BMI of 30.0 or above — both are far above the client's current BMI. The nurse should document the BMI of 17.2 as underweight and initiate nutritional interventions, including dietary consultation, to address malnutrition and the underlying disease process. Recognizing underweight status in this population is essential because malnutrition worsens outcomes and impairs immune function.

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