A nurse is caring for a client who has a body mass index (BMI) of 26. The nurse should place the client in which BMI category?
Obese
Underweight
Overweight
Healthy weight
The Correct Answer is C
A. A BMI of 26 is not classified as obese; obesity typically starts at a BMI of 30.
B. Underweight is defined as a BMI less than 18.5, which does not apply to this client.
C. A BMI of 26 falls within the overweight category, which is defined as a BMI between 25 and 29.9.
D. A healthy weight is classified as a BMI between 18.5 and 24.9, which does not include a BMI of 26.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The severity of the condition may correlate with pain but is not a direct measure of the individual's pain experience.
B. Vital signs can change due to pain but are not specific indicators of pain intensity or presence.
C. Nonverbal behavior can provide clues about pain but is subjective and can vary greatly between individuals.
D. Self-rating of pain is considered the most reliable indicator of pain because it reflects the individual's personal experience and perception of their pain, making it the gold standard for assessing pain intensity.
Correct Answer is A
Explanation
A. Assessing visual acuity directly tests cranial nerve II (the optic nerve), which is responsible for vision.
B. Eliciting the gag reflex tests cranial nerves IX (glossopharyngeal) and X (vagus), not cranial nerve II.
C. Checking for pupillary response to light primarily assesses the function of cranial nerve II but is more associated with cranial nerve III (oculomotor) since it involves the constriction of the pupil. While relevant, it is not the best standalone action for assessing cranial nerve II specifically.
D. Observing for facial symmetry is associated with cranial nerve VII (facial nerve), not cranial nerve II.
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