Final answer:
The nurse should perform a nutrition assessment for an older client who has a widow/widower status, chronic constipation, a history of depression, or a high random blood sugar level indicative of potential diabetes.
Step-by-step explanation:
When reviewing an older client's medical record, the findings that would lead a nurse to perform a nutrition assessment include several factors that may indicate nutritional risks or underlying conditions that could affect the client's nutritional status. These findings are:
- Widow/widower status - Social isolation can lead to poor dietary habits due to the absence of shared meals and lack of motivation for cooking.
- Chronic constipation - May signal poor dietary fiber intake or hydration issues.
- History of depression - Can affect appetite and lead to malnutrition.
- Random blood sugar level of 198 mg/dL - This could indicate diabetes or pre-diabetes, both of which require careful dietary management.
Assessment in these areas will enable the nurse to identify potential nutritional problems and intervene appropriately.