A 22-year-old female client with a history of Anorexia and Bulimia Nervosa is prescribed serial weight measurements every day. What actions will the nurse take when conducting these serial weights? (Select all that apply.)
Encourage the client to look at the balance beam
Have the client wear the same clothing every day.
Weigh the client at the same time in the morning
Use the same scale to weigh the client.
Discuss the client's weight with her after each measurement.
Correct Answer : B,C,D
A) Encourage the client to look at the balance beam:
Encouraging the client to look at the balance beam may help her feel more engaged in the process of weight measurement. This can foster trust and cooperation during what may be a challenging procedure due to her history of Anorexia and Bulimia Nervosa.
B) Have the client wear the same clothing every day:
Consistency in clothing helps to minimize variations in weight measurements that could be attributed to changes in clothing weight rather than actual body weight fluctuations. This practice ensures more accurate and reliable serial weight measurements.
C) Weigh the client at the same time in the morning:
Weighing the client at the same time each day helps to standardize conditions and minimize daily variations due to factors like hydration levels and food intake, providing more accurate serial weight measurements.
D) Use the same scale to weigh the client:
Using the same scale ensures consistency in measurement accuracy. Different scales can yield slightly different readings, which could affect the interpretation of weight trends over time.
E) Discuss the client's weight with her after each measurement:
While discussing weight may be part of the client's care plan, it's not necessarily a standard action during the process of conducting serial weight measurements. The focus during the actual weighing process should be on maintaining consistency and accuracy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Concussions in sports and motor vehicle accidents cause the largest number of TBIs in teens: Adolescents are particularly susceptible to TBIs due to their frequent involvement in contact sports like football, soccer, and hockey, as well as risky behaviors associated with driving. These activities are leading causes of TBIs in this age group, making education on safety measures and proper use of protective equipment essential in prevention efforts.
B) Females have twice the risk that males do: This statement is incorrect. In reality, males are more likely to sustain TBIs than females, especially in adolescence. The higher risk in males is largely due to their greater participation in high-impact sports and higher likelihood of being involved in motor vehicle accidents.
C) Falls occur more frequently in the younger population: Although falls are a significant cause of TBIs in young children and older adults, they are not the primary cause in adolescents. Teens are more likely to sustain TBIs from sports injuries and car accidents, making these areas more relevant for preventive education.
D) Most firearm incidents are accidental: While firearm-related TBIs can occur, they are not as common in the adolescent population compared to injuries from sports and motor vehicle accidents. Prevention efforts should focus more on the activities that pose the highest risk for this age group.
Correct Answer is C
Explanation
The Body Mass Index (BMI) is calculated using the formula:
BMI = weight(kg) / height(m)2
First, we need to convert the height from feet and inches to meters.
There are approximately 0.3048 meters in a foot and 0.0254 meters in an inch.
So, 5 feet 5 inches is approximately 1.65 meters.
Substituting the given values into the formula:
BMI = 60 / (1.65)2
This gives us a BMI of approximately 22 when rounded to the nearest whole number.
Therefore, the correct answer is 22 BMI.
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