A nurse is assessing an obese client in the clinic for follow-up after an episode of deep vein thrombosis. The client has lost 20 pounds since the last visit. What action by the nurse is best?
a. Ask if the weight loss was intended.
b. Encourage a high-protein, high-fiber diet.
c. Measure for new compression stockings.
d. Review a 3-day food recall diary.
ANS: C
Compression stockings must fit correctly in order to work. After losing a significant amount of weight, the client should be re-measured and new stockings ordered if needed. The other options are appropriate, but not the most important.
You might also like to view...
The nursing role in the mental health setting that relates to medications, assessments of physical and psychiatric conditions, maintenance of safety, and management of environ-mental factors is the ____ role
1. advocate 2. teaching 3. technical 4. supervisor
The nurse wishes to participate in educational ethics rounds at the hospital. What is essential in these rounds?
1. The client must give consent. 2. The group must be interdisciplinary. 3. These rounds must be conducted privately. 4. The cases must be hypothetical.
The nurse examining a patient's antiembolitic stockings would do which of the following? Select all that apply
a. Prescribe Coumadin to be given daily. b. Ensure that the stockings are the correct size. c. Determine whether the stockings are knee-high or thigh-high. d. Determine that the patient has audible pulses in the lower extremities. e. Wash the patient's stockings every night when the patient goes to sleep. f. Assure that the stockings have been removed at least once per day to examine the patient's skin.
The nurse recognizes that which of the following is the third leading cause of death in the United States?
1. heart attack 2. trauma 3. cerebral vascular accident 4. lung cancer