A nurse is weighing and measuring a client with severe kyphosis. What is the best method to obtain this client's height?

a. Add the trunk and leg measurements.
b. Ask the client how tall he or she is.
c. Estimate by measuring clothing.
d. Use knee-height calipers.


ANS: D
A sliding blade knee-height caliper is used to obtain the height of a client who cannot stand upright, such as those with kyphosis or lower extremity contractures. The other methods will not yield accurate data.

Nursing

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The nurse is talking with a group of nursing students. What drug would the nurse tell them, when combined with furosemide (Lasix), is likely to cause hearing loss?

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The nurse, reviewing the lifestyle characteristics of a client with a sleep disturbance, would instruct the client on which of the following to encourage sleep?

a. Smoke a cigarette just before falling asleep. b. Eating a large meal before bedtime. c. If hungry at bedtime, have a small snack. d. Turn on the television or radio to have a diversion while waiting to fall asleep.

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A client has folic acid deficiency anemia. Which information in the nursing history would be of concern to the nurse? The client

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Nursing

A newborn male is circumcised. What instructions should the nurse include in the discharge teaching plan for his parents?

A) Soak the penis daily in warm water B) Cover the glans generously with Vaseline C) Cleanse the glans daily with alcohol D) Notify her physician if it appears red and sore

Nursing