The physician orders daily weights on a patient residing in a long-term care setting. What actions should the nurse implement to assess weight accurately? (Select all that apply.)
a. Weigh patient at the same time each day
b. Schedule weighing immediately after breakfast
c. Encourage patient to void before being weighed
d. Ensure same amount of clothing is worn by patient
e. Calibrate by setting scale at zero after each weight
ANS: A, C, D
Accurate assessment of weight should occur at the same time each day, preferably at 6 AM before breakfast. The patient should be encouraged to void before being weighed and the same amount of clothing should be worn each day. The scale should be calibrated to zero before (not after) each weight is taken.
You might also like to view...
A stool specimen that must be sent to the laboratory immediately is a specimen for:
a. occult blood. b. ova and parasites. c. infection. d. fats.
A nurse working in the critical care unit would assess the client's complexity by asking questions related to
a. ability of the client and family to make sound decisions. b. effect of family, stress, and environmental factors on the client. c. interplay of multiple medical problems on the current condition. d. the client's ability to use compensatory coping mechanisms.
What is service learning?
a. a teaching method where classroom learning is deepened by service to others b. a type of learning that allows the nurse to serve her colleagues and peers in an educational setting c. consists of nurses providing free care in the community as part of their degree program d. learning to serve others from a moral and ethical standpoint
Which of the following statements by a parish nurse exhibits a lack of understanding of the concept of pastoral care?
a. "By working with my clients to help them identify their spiritual strengths, I am drawing on pastoral care aspects of practice." b. "To incorporate pastoral care, I should involve the pastor in ministering to the members of the congregation." c. "I use pastoral care when I emphasize the spiritual dimension of nursing when providing care." d. "When I lend support to my clients during times of joy, as well as during their times of sorrow, this illustrates an important aspect of pastoral care."