The charge nurse observes a practical nurse (PN) measuring the waist circumference of a client who has expressed a concern about health problems related to obesity. Which action should the nurse implement?
Advise the PN that waist circumference measurements are valuable to assess fluid retention but not obesity.
Tell the PN that this assessment technique should be performed by the nurse.
Review the measurement obtained by the PN and compare with ideal measurements for this client.
Instruct the PN to measure the client's waist circumference every 8 hours to assess for changes.
The Correct Answer is C
A. Advise the PN that waist circumference measurements are valuable to assess fluid retention but not obesity. This statement is incorrect. Waist circumference is a valuable measure for assessing abdominal obesity and related health risks.
B. Tell the PN that this assessment technique should be performed by the nurse. Measuring waist circumference is within the scope of practice for a practical nurse and does not need to be performed by a registered nurse.
C. Review the measurement obtained by the PN and compare with ideal measurements for this client. This action ensures that the measurement is accurate and provides an opportunity to educate the client about the significance of waist circumference in relation to obesity and associated health risks.
D. Instruct the PN to measure the client's waist circumference every 8 hours to assess for changes. Waist circumference does not change significantly over such a short period and does not need to be measured this frequently.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["532"]
Explanation
1 ounce (oz) is approximately equal to 29.5735 milliliters (mL).
Given that the client consumed:
- 4 ounces of protein shake
- 1 cup (which is typically 8 fluid ounces) of black coffee
- 6 ounces of apple juice
Calculation
- Protein shake: 4 ounces 29.5735 mL/ounce = 118.294 mL
- Black coffee: 8 ounces 29.5735 mL/ounce = 236.588 mL
- Apple juice: 6 ounces 29.5735 mL/ounce = 177.441 mL
Summing up the intake:
Total intake = Protein shake + Black coffee + Apple juice Total intake = 118.294 mL + 236.588 mL + 177.441 mL Total intake = 532.323 mL
Rounded off to the nearest whole number = 532mL
Correct Answer is B
Explanation
A. Suggesting that the client also avoid fruit skins may not directly address the concern about nuts and seeds, potentially causing confusion.
B. Confirming that these foods should be avoided validates the client's understanding and reinforces the importance of dietary modifications to prevent inflammation associated with hemorrhoids.
C. Encouraging soft foods such as yogurt is beneficial for easing bowel movements, but it does not specifically address the need to avoid nuts and seeds.
D. Explaining the benefits of a high fiber diet is important for overall bowel health, but it does not directly address the client's concern about avoiding specific foods that may aggravate
hemorrhoids.
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