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?
Healthy weight
Overweight
Underweight
Obesity class 1
The Correct Answer is C
A. Healthy weight – A BMI between 18.5 and 24.9 is classified as healthy. Since the client's BMI is 17.2, they do not fall within this range.
B. Overweight – Overweight is defined as a BMI between 25.0 and 29.9. The client's BMI of 17.2 is far below this range.
C. Underweight – A BMI below 18.5 is classified as underweight. Since the client's BMI is 17.2, they fall into this category. Clients with Crohn’s disease often experience malabsorption and weight loss, leading to a low BMI.
D. Obesity class 1 – Obesity is categorized as a BMI of 30.0 or higher. The client’s BMI is far below this classification.
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Related Questions
Correct Answer is D
Explanation
A. Emptying an indwelling urinary catheter bag with clean gloves is appropriate and does not require intervention.
B. Performing a simple dressing change on a client’s foot is within the AP's scope of practice if the dressing is not complex or sterile.
C. Providing postmortem care is within the AP's role and does not require intervention unless specific contraindications exist.
D. Clostridium difficile (C. diff) spores are resistant to alcohol-based hand rubs. The AP must use soap and water for hand hygiene to effectively remove spores. This is an infection control breach that requires immediate intervention.
Correct Answer is C
Explanation
A. Insomnia is not a typical adverse effect of disulfiram-alcohol interaction.
B. Tinnitus is not commonly associated with disulfiram reactions.
C. This is the correct answer. Disulfiram causes an acetaldehyde accumulation reaction when alcohol is consumed, leading to symptoms such as headache, nausea, vomiting, and flushing.
D. Hypotension, not hypertension, is a more common response due to vasodilation from the reaction.
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