For adults who are unable to stand, height may be estimated by measuring
a. knee height.
b. stated height.
c. head circumference.
d. wrist circumference.
A
For adults who are unable to stand, height may be estimated by measuring knee height. Stated height is not necessarily accurate. Head circumference is used to measure growth in children, but is not related to height and is not usually used in adults. Wrist circumference is related to body frame size, but not height.
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The individual who should be assessed as being at greatest risk for demonstrating violent behavior is
a. A, who has a history of spousal abuse. b. B, who is severely agoraphobic. c. C, who verbalizes hopelessness and powerlessness. d. D, who demonstrates bizarre somatic delusions.
Which statement is not correct regarding the nursing plan of care? The plan of care
a. is initiated on the day of admission b. directs the care of the nursing staff only c. includes input from the client and family d. is a comprehensive assessment of the entire person
Which statement by a patient who has been prescribed quinidine (Quinaglute) indicates the need for additional teaching?
a. "I use over-the-counter St. John's wort to help with my memory." b. "I am careful not to eat too much food that is high in alkaline ash." c. "I check my heart rate and blood pressure at least once a day." d. "I take a multivitamin and calcium supplement daily."
The patient is admitted to the hospital with orders for activity as tolerated. He is wheelchair-bound at home and has brought his own electric wheelchair and battery charger to help him maintain mobility. The nurse realizes that:
a. patients are not allowed to bring in an electric wheelchair. b. electrical equipment is banned from all hospitals. c. the charger needs to be checked by hospital engineers. d. electrical devices are not a cause for concern.