The nurse is assessing an infant and needs to determine length. Which procedure is appropriate for the nurse to use to measure length?
1. Get assistance to measure the child from head to toe in prone position.
2. Wait until the child is sleeping and hold the child upright in front of a tape measure attempting for the best accuracy possible.
3. Place the child in a supine position and measure from the crown of the head to the heel while holding the legs straight.
4. Have the mother to assist the child in standing in front of a tape measure.
Correct Answer: 3
Recumbent length is obtained on persons who cannot stand freely for height measurements. The length is measured using a device, and by having the person lie flat in the supine position and measuring from the crown of the head to the heel with toes pointed upward and knees straight. It is incorrect to hold a client in a standing position to obtain a height measurement, either with the client awake or asleep. The nurse may enlist help from others to measure, but the measurement is from head to heel, not head to toe, and not in prone position.
You might also like to view...
Persons with _____________ _______________ usually understand others but speak very slowly and use a minimal number of words
Fill in the blank(s) with correct word
When a dying client has artificial nutrition and hydration withheld, which of the following symptoms decrease? (Select all that apply.)
a. vomiting d. pulse b. abdominal pain e. loss of bladder control c. skin rashes f. shortness of breath
The nurse is preparing a staff in-service program related to restless legs syndrome (RLS). Which potential risk factors of this syndrome does the nurse include? (Select all that apply.)
a. Skin rashes b. Polyneuropathies c. Muscle atrophy d. Diabetes mellitus type 2 e. Hypercalcemia
A patient drank 1 cup of coffee, ½ c juice, and three 8 ounces glasses of water. What is the metric
equivalent in liters of the total amount of fluids the patient drank? A. 10.8 L B. 1.08 L C. 0.08 L D. 108 L