A marker for nutritional status is the:
a. head circumference.
b. waist-to-hip ratio.
c. standing height.
d. triceps skinfold thickness.
D
The measurement of skinfold or fatfold thickness provides another parameter to evaluate the nu-tritional status of the patient. The jaws of skinfold thickness calipers must be correctly placed to obtain an accurate reading.
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A child is admitted to the hospital with physical injuries. What would indicate to the nurse that the child is a victim of child abuse?
Select all that apply. 1. Confusion. 2. Missing teeth. 3. Inappropriate response to pain. 4. Abrasions to the mouth, lips, and genitalia. 5. Dehydration.
The nurse is caring for a client experiencing rosacea. Which is the earliest symptom of the disease process?
A) Flushed facial appearance B) Bluish pallor of the skin C) Large facial pores D) Orange peel skin texture
The older man in a long-term care facility consistently wakes at 3 AM and does not return to sleep. The nurse records this behavior as _____ insomnia
a. sleep initiation b. sleep maintenance c. terminal d. undifferentiated
Which statement is true of planning the timing for the use of confrontation?
a. Confrontation should never be used during the orientation phase of the relationship. b. Confrontation is useful during the working phase to focus on specific patient discrepancies. c. Confront patients with their limitations early in the relationship and with their assets later in therapy. d. Confront patients when other therapeutic action dimensions have proven ineffective.