The nurse is measuring his patient's height. Which of the following steps of the procedure indicates a need for further education on this skill?
a. He instructs the patient to remove his shoes.
b. He measures from the top of the patient's head to the bottom of the patient's foot arch.
c. He positions the head against the headboard or measuring device.
d. He makes sure the patient is standing erect.
ANS: B
Nurses measure from the top of the head to the bottom of the heel. The patient is instructed to remove shoes, stand erect, and position the top of the patient's head against the headboard or measuring device for accuracy.
You might also like to view...
A nurse will conduct an influenza vaccination campaign at an extended care facility
The nurse will be administering intramuscular (IM) doses of the vaccine. Of what age-related change should the nurse be aware when planning the appropriate administration of this drug? A) An older patient has less subcutaneous tissue and less muscle mass than a younger patient. B) An older patient has more subcutaneous tissue and less durable skin than a younger patient. C) An older patient has more superficial and tortuous nerve distribution than a younger patient. D) An older patient has a higher risk of bleeding after an IM injection than a younger patient.
The nurse is completing a heritage assessment with an older patient from a non-English-speaking culture. Which question would not be a part of this assessment?
1. Where was your mother born? 2. Did you live in an extended family? 3. Where did your father go to school? 4. Do you belong to a religious institution?
What is another term that can be used for professional negligence?
a. Crime b. Consent c. Misdemeanor d. Malpractice
The nurse is planning to use Sigmund Freud's psychoanalytic approach with a client on his psychiatric unit. He will operate on which one of the following assumptions?
a. Thinking is logical. b. Clients actively resist the process of repression. c. Sexual energy comes from the ego. d. All behavior has meaning.