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 A
Explanation
A. Vitamin B12. Nystagmus, ataxia (loss of control of bodily movements), and tremors are neurological symptoms associated with vitamin B12 deficiency, particularly in individuals with a history of alcohol abuse who may have impaired absorption of nutrients due to gastrointestinal
issues.
B. Lack of dietary vitamin A. Vitamin A deficiency can lead to various symptoms, but it is not typically associated with nystagmus, ataxia, and tremors.
C. Protein starvation. Protein deficiency can cause various symptoms, but it is not typically associated with nystagmus, ataxia, and tremors.
D. Iron deficiency anemia. Iron deficiency anemia can cause fatigue, weakness, and pale skin, but it is not typically associated with nystagmus, ataxia, and tremors.
Correct Answer is C
Explanation
A. Baked sweet potato. Sweet potatoes are healthy but low in sodium, which is not ideal for someone with hyponatremia who needs to increase their sodium intake.
B. Lettuce and tomato salad. While nutritious, this salad is low in sodium and would not help in correcting hyponatremia.
C. Ham and cheese sandwich. Ham and cheese are both high in sodium, making this sandwich a suitable choice for someone needing to increase their sodium levels to address hyponatremia.
D. Fruit salad with bananas. Fruit salads are generally low in sodium, and while bananas are nutritious, they do not provide the needed sodium for someone with hyponatremia.
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