What anthropometric data should the nurse expect to gather as part of a nutritional screening in a clinic setting?
1. Skinfold measurements
2. Height and weight
3. Religious practices
4. Hemoglobin and hematocrit
2
Rationale: The nutritional screening includes data that are gathered quickly. Height and weight are easily obtained data. Skinfold measurements require more sophisticated devices and special training to use correctly. Religious practices are not routine data gathered by the nurse. Lab results are not anthropometric data.
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What type of nursing uses mini teams, typically an RN and unlicensed healthcare workers to provide care to a small group of patients who are centralized geographically?
A) Total patient care B) Functional nursing C) Modular nursing D) Primary care nursing
A patient diagnosed with sickle cell anemia is in severe pain. How would the nurse explain the etiology of this pain?
1. "You don't have enough red blood cells to carry oxygen to your tissues.". 2. "You have infection in your blood because your white blood cells are not working correctly.". 3. "Your red blood cells clog up the vessels and the tissues don't get oxygen.". 4. "You have too many red cells, so your blood is too thick.".
A patient was admitted last night with a hip fracture sustained in a fall while intoxicated. The patient points to the Buck traction and screams, "Somebody tied me up with ropes." The patient is experiencing:
a. illusion b. delusion c. hallucinations d. hypnagogic phenomenon
The nurse is caring for a client who is a gravida 5 in active labor. The membranes spontaneously rupture with a large amount of clear amniotic fluid. Which nursing action is most important to take at this time?
1. Perform a Leopold maneuver. 2. Complete a sterile vaginal examination. 3. Obtain an order for pain medication. 4. Assess the odor of the amniotic fluid.