Which should the nurse implement to monitor client weight over time?
1. Use the same type and brand of scale.
2. Calibrate same scale before each weight.
3. Weigh client at admission and discharge.
4. Obtain weights at different times of the day.
2
2 and 1. For consistency among the weights, weigh the client using the same scale each time and calibrate the scale before use. The weights obtained from different scales of the same model, type, and brand will vary for an identical mass.
3. Tracking a client's weight can provide valuable data about body mass or fluid gain or loss; weighing at the beginning and ending of a hospitalization loses all the infor-mation potentially gained from daily weights.
4. Weights obtained at different times of the day are not valid because the accumula-tion of waste products, fluid, and foods alters the true weight.
You might also like to view...
A teenage patient comes into the emergency department with an arrow lodged in his right lower thoracic region. Which nursing intervention is indicated?
1. Have the patient assume a left side lying position and pull on the arrow to remove it. 2. Slowly move the arrow to the left and right to attempt to dislodge it. 3. Stabilize the arrow by padding around the wound with gauze rolls. 4. Slowly rotate the arrow to attempt to dislodge it.
Which statement made by the client with facial burns who has been prescribed to wear a facial mask pressure garment indicates correct understanding of the purpose of this treat-ment?
A. "After this treatment, my ears will not stick out." B. "The mask will help protect my skin from sun damage." C. "Using this mask will prevent scars from being permanent." D. "My facial scars should be less severe with the use of this mask."
Before a long-term care resident goes to sleep at night, his dentures are placed in a denture cup with clean water. What rationale supports placing dentures in water?
A) none; they should be placed in saline B) to increase comfort when replaced in the mouth C) to prevent drying and warping of plastic D) to ensure the dentures are not thrown away
A client was exposed to iodine-131. Which medication would the nurse administer to counteract the effects of this exposure?
1. Anti-iodine vaccine intramuscularly 2. Potassium iodide orally 3. Penicillin intravenously 4. Antiviral nasal spray