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 C
Explanation
A. Scrambled eggs with roasted peppers and onions, lean ham, and toast. This meal contains lean protein from the eggs and ham, which is beneficial, but it lacks significant amounts of cancer- fighting nutrients found in fruits, vegetables, and whole grains.
B. Poached egg, bacon, biscuit, and canned peaches in light syrup. Bacon and canned peaches in syrup are not recommended for cancer prevention due to their high content of saturated fats and added sugars, respectively.
C. Oatmeal with raisins and nuts, with skim milk and 1/2 grapefruit. This meal contains whole grains from the oatmeal, antioxidants from the raisins and nuts, and vitamin C from the grapefruit, all of which have been associated with reducing the risk of certain cancers.
D. Pancakes with blueberries and maple syrup, and a turkey sausage patty. While blueberries are rich in antioxidants, the pancakes and maple syrup contribute refined carbohydrates and added sugars, which are not recommended for cancer prevention.
Correct Answer is B
Explanation
A. Inserting a portion of the tablet into the tube and applying gentle pressure may not ensure proper dissolution, potentially leading to clogging or incomplete administration.
B. Consulting with the pharmacist about a liquid form of the medication is the best course of action. Enteric-coated tablets are formulated to release the medication in the small intestine, and crushing or dissolving them can alter their effectiveness or cause irritation.
C. Dissolving the medication in sterile water and using gravity to administer may not adequately address the enteric coating, risking medication inefficacy or irritation.
D. Crushing the medication and diluting it with water before pouring into the tube is not recommended for enteric-coated tablets, as it may compromise their effectiveness and lead to adverse effects.
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