A patient asks why her waist circumference measurement is needed. Which of the following is the nurse's best response to this patient?
1. "It helps in determining the risk for cardiovascular disease.".
2. "It helps determine if the BMI is accurate.".
3. "It is more reliable that using skinfold measurements.".
4. "It is the only tool that can reliably provide information on nutritional status.".
"It helps in determining the risk for cardiovascular disease.".
Rationale: Waist circumference is one measurement used to help determine a patient's risk for the development of cardiovascular disease. Body mass index (BMI) is used to calculate appropriate weight for height. Skinfold measurements determine body composition. There is no single measurement or parameter to determine a patient's nutritional status.
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A 62-year-old man states that his physician told him that he has an "inguinal hernia." He asks the nurse to explain what a hernia is. The nurse should:
a. Tell him not to worry and that most men his age develop hernias. b. Explain that a hernia is often the result of prenatal growth abnormalities. c. Refer him to his physician for additional consultation because the physician made the initial diagnosis. d. Explain that a hernia is a loop of bowel protruding through a weak spot in the abdominal muscles.
A patient's order for IV fluid states that D5NS is to be infused. Which of the following IV fluids should be given?
A. 5% Dextrose B. 0.9% Sodium Chloride C. 5% Dextrose with 0.9% Sodium Chloride D. Lactated Ringer's Solution
A patient with a T-2 injury is in spinal shock. The nurse will expect to observe what assessment finding?
A) Absence of reflexes along with flaccid extremities B) Positive Babinski's reflex along with spastic extremities C) Hyperreflexia along with spastic extremities D) Spasticity of all four extremities
The nurse is caring for a client who is experiencing acute inflammation. How many days should the nurse educate the client to expect symptoms to persist?
1. 7 to 14 days 2. 8 to 10 days 3. 5 to 7 days 4. 15 to 18 days