A patient is consuming nearly double the recommended calories and is 50 pounds over weight. Which nursing diagnosis is most applicable?

The nursing diagnosis describing "Nutrition, more than body requires" is pertinent in this situation because it directly addresses the patient's excessive caloric intake compared to the recommended dietary guidelines. The fact that the patient is consuming nearly double the suggested calorie intake highlights an imbalance where energy intake significantly outweighs energy expenditure. This diagnosis effectively captures the underlying issue of overconsumption, which can lead to further complications, including obesity.

In contrast, while altered nutrition could apply, it does not specifically emphasize the aspect of excessive calorie consumption. The option that combines both excessive intake and alteration may seem comprehensive, but it doesn't directly focus on the primary concern of the patient's nutritional habits. Similarly, the diagnosis of "Risk for obesity" is relevant but does not reflect the current state of the patient's nutritional status; instead, it indicates a potential outcome rather than the present condition. Therefore, the most suitable diagnosis in this scenario is "Nutrition, more than body requires," as it succinctly identifies the critical issue at hand regarding the patient's dietary intake.