The nurse is caring for a client who is obese. Appropriate interventions related to nutrition for this client include: Standard Text: Select all that apply
1. BMI measurement.
2. Monitor weight weekly.
3. Record oral intake.
4. Limit client access to food.
5. Monitor skin for redness and breakdown.
1,2,3,5
Rationale: Determining BMI is a good indicator of whether a person's weight is appropriate for height, and provides an estimate of malnutrition.
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When discussing lifestyle changes with an adult patient diagnosed with hypertension, the nurse advises that the patient should avoid tobacco use because smoking:
A) Causes high blood pressure B) Increases the risk of heart disease C) Causes obesity D) Increases cardiac output
State and federal agencies oversee legislation, licensure, and reporting programs as well as administer quality and safety initiatives such as:
A) The Hospital Quality Initiative B) The National Database of Nursing Quality Indicators (NDNQI) C) The Health Effectiveness Data Information Set (HEDIS) D) The Magnet Recognition Program
The patient, age 72, is admitted with acute pulmonary edema. In pulmonary edema, the medical management will often include
a. IV infusion of D5LR at less than 30 mL/hr. b. intravenous sodium. c. supine position. d. atropine to decrease respiratory rate.
The nurse is assessing a client at risk for shock. The client's systolic blood pressure is 20 mm Hg lower than baseline. Which intervention does the nurse perform first?
a. Increase the IV fluid rate. b. Administer oxygen. c. Notify the health care provider. d. Place the client in high Fowler's position.