The practical nurse (PN) is implementing a nursing care plan that requires daily weights. Which factor is most important for the PN to consider regarding daily weights?

The amount of fluid the client drank today.

When the client wants to be weighed.

When the client was last weighed.

The amount of food the client ate today

Answer and Explanation

The Correct Answer is C

A. The amount of fluid the client drank today: Although fluid intake affects weight, daily weights are intended to reflect overall fluid and nutritional changes over time, not just today's intake. Monitoring intake is important but not the most critical factor in conducting daily weights consistently.
B. When the client wants to be weighed: While respecting the client's preferences is important for cooperation, clinical accuracy requires consistency in timing and conditions, not simply weighing at the client's preferred time.
C. When the client was last weighed: Knowing when the client was last weighed ensures consistency and accuracy for monitoring trends. Daily weights should be taken at the same time each day, ideally in the morning before eating and after voiding, to accurately track fluid balance and body mass changes.
D. The amount of food the client ate today: Food intake affects weight slightly, but the purpose of daily weights is to detect significant changes, such as fluid retention or loss. Weighing under consistent conditions matters more than focusing on the day's food intake.

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Correct Answer is B

Explanation

A. High school: Beginning screening at the high school level is too late for early intervention. By adolescence, many obesity-related habits and risk factors are already established, making prevention efforts less effective compared to earlier childhood interventions.
B. Elementary school: Screening during elementary school years is best because it allows early identification of unhealthy weight patterns. Early detection helps in promoting healthy lifestyle habits before adolescence, improving long-term outcomes and reducing the risk of chronic diseases.
C. Onset of puberty: While puberty brings significant physical changes, waiting until this stage may miss earlier opportunities for preventive education and intervention. Early habits formed in childhood often persist into adolescence and adulthood.
D. Kindergarten: Although health education can start early, formal obesity screening at kindergarten may be premature since normal variations in growth patterns are common at that age. Targeting elementary-aged children provides a better balance between early intervention and developmental appropriateness.

A. Remind the UAP of the need to turn the client every 2 hours to prevent skin breakdown. B. Confirm that turning this client once a shift is sufficient since no skin damage occurred. C. Instruct the UAP to cleanse the area thoroughly to remove any remaining skin debris. D. Gather supplies to apply a sterile dressing over the site to reduce risk for infection.

Correct Answer is A

Explanation

A. Remind the UAP of the need to turn the client every 2 hours to prevent skin breakdown: Frequent repositioning is critical to prevent pressure injuries in bedfast clients. Although the redness blanched (indicating no permanent damage yet), regular turning is necessary to maintain skin integrity and prevent future breakdown.
B. Confirm that turning this client once a shift is sufficient since no skin damage occurred: Turning once per shift is inadequate for pressure injury prevention. Clients at risk need to be repositioned at least every two hours to minimize sustained pressure on bony prominences.
C. Instruct the UAP to cleanse the area thoroughly to remove any remaining skin debris: Since there is no open wound, aggressive cleansing is unnecessary and could actually irritate the skin further. The focus should be on pressure relief rather than harsh skin cleansing.
D. Gather supplies to apply a sterile dressing over the site to reduce risk for infection: A sterile dressing is not appropriate for blanchable redness without skin breakdown. Preventive measures like repositioning and pressure relief are the correct interventions at this stage.

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The practical nurse (PN) is implementing a nursing care plan that requires daily weights. Which factor is most important for the PN to consider regarding daily weights?

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Naxlex Comprehensive Predictor Exams

The practical nurse is assisting with the implementation of an obesity screening program in a pediatric clinic. It is best to begin the screening program with which group?

Correct Answer is B

Explanation

Correct Answer is A

Explanation

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The practical nurse (PN) is implementing a nursing care plan that requires daily weights. Which factor is most important for the PN to consider regarding daily weights?