A male patient is 6 feet 2 inches tall with a body weight of 145 lbs. The nurse would calculate this patient's BMI to be which of the following?
1. 13.7
2. 19.5
3. 18.7
4. 14.3
3
Rationale: To calculate the BMI, the following formula would be used: Weight in pounds x 703) / Height in inches squared. The patient is 74 inches tall and weighs 145 lbs. Using the formula, 145 x 703 = 101935 divided by 74 inches squared or 5476 would calculate the BMI to be 18.69. The other choices are incorrect.
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Which of the following nursing diagnoses has a correctly written "related to" statement?
1. Impaired urinary elimination related to new baby 2. Ineffective breastfeeding related to poor mothering 3. Urinary retention related to need for catheterization 4. Ineffective breastfeeding related to insufficient maternal milk supply
The nurse has identified the goals of "intact skin integrity" and "intact stoma integrity" for a patient with a colostomy
Which evaluation parameters are best suited for these goals? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. The stoma is pink and moist. 2. No excoriation is noted on skin surrounding the stoma. 3. The patient shows understanding of importance of preventing fecal leakage. 4. The patient demonstrates ability to apply the collecting appliance properly. 5. The stomal area is free of pain.
An adolescent client with cystic fibrosis suddenly becomes non-compliant with the medication regime. Which intervention by the nurse will most likely improve compliance for this client?
1. Give the child a computer-animated game that presents information on the management of cystic fibrosis. 2. Arrange for the physician to sit down and talk to the child about the risks related to non-compliance with medications. 3. Set up a meeting with some older teens with cystic fibrosis who have been managing their disease effectively. 4. Discuss with the child's parents the privileges that can be taken away, such as cell phone, if compliance fails to improve.
A home health nurse was making an initial visit to an elderly man. As the nurse began the assessment, the wife gave all of the information requested. What does the nurse need to do next?
A. Because the nurse has all the needed information, appropriate interventions must be agreed upon with the family. B. Having the information, the nurse should now decide upon appropriate nursing diagnoses. C. The next step is to assess the environment of the wider community. D. The nurse needs to confirm information with the client because the nurse has heard only the wife's perspective.