Exhibits

Click to indicate which education instructions the nurse should include to prevent future cellulitis and promote healing when preparing the client for discharge. Each column must have at least one response selected.

A. Accessibility to trauma care. In rural communities, access to trauma care is critical because emergency medical services (EMS) response times are often delayed due to long travel distances. Without nearby trauma centers, patients with life-threatening injuries, such as those from motor vehicle accidents or farm-related injuries, face higher mortality and morbidity rates. Ensuring rapid access to trauma care significantly improves survival outcomes.
B. Family planning center. While family planning services are important for reproductive health, they are not as immediately life-saving as access to trauma care in an emergency.
C. Annual health fair. Health fairs provide preventive education and screenings, which are beneficial but do not address immediate, life-threatening medical needs.
D. Weather-related disaster plan. While a disaster plan is important for emergency preparedness, trauma care is a more immediate and ongoing concern in rural settings, where high-risk injuries require timely medical intervention.

A. Body mass index greater than 35 kg/m². A BMI of ≥35 kg/m² indicates severe obesity and significantly increases the risk of chronic diseases such as hypertension, diabetes, and cardiovascular disease. Clients with a BMI ≥35, especially with comorbidities, should be referred for obesity counseling, lifestyle modifications, and possibly medical or surgical interventions.
B. Daily caloric intake of 3,500 calories. While consuming 3,500 calories daily may contribute to weight gain, caloric intake alone is not the primary indicator for an obesity counseling referral. BMI provides a more standardized measure of obesity risk.
C. Client's expressed desire to lose 50 lb (22.7 kg). A client’s motivation is important, but referral criteria for obesity counseling are based on clinical indicators like BMI rather than weight loss goals alone.
D. Body weight 10% over ideal body weight. Being 10% over ideal body weight does not necessarily indicate obesity. Obesity is typically defined as a BMI ≥30 kg/m², so this alone would not automatically warrant an obesity counseling referral.