The nurse is assessing the body weight as a percentage of ideal body weight on an adolescent patient who was admitted for suspected anorexia nervosa. The patient's usual weight was 125 pounds, but today she weighs 98 pounds
The nurse calculates the patient's ideal body weight and concludes that the patient is:
a.
Experiencing mild malnutrition.
b.
Experiencing moderate malnutrition.
c.
Experiencing severe malnutrition.
d.
Still within expected parameters with her current weight.
ANS: B
By dividing her current weight by her usual weight and then multiplying by 100, a percentage of 78.4% is obtained, which means that her current weight is 78.4% of her ideal body weight. A current weight of 80% to 90% of ideal weight suggests mild malnutrition; a current weight of 70% to 80% of ideal weight suggests moderate malnutrition; a current weight of less than 70% of ideal weight suggests severe malnutrition.
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The nurse is assisting a victim of an accident who requires bandaging of the right lower extremity. When applying the bandage, the nurse should:
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A nurse is caring for a chronically confused client and family and has made the nursing diagnosis Caregiver Role Strain. Which action by the family would alert the nurse that outcomes are not being met? (Select all that apply.)
a. A support group schedule is noticed by the nurse in the spouse's pocket. b. Children state the spouse has not seen old friends in several months. c. The client's spouse states they cannot afford a bedside commode at home. d. The family has arranged for mental competency testing for the client.
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