A nurse assesses the height and weight measurements on an infant and documents these measurements at the 75th percentile. The nurse notes that the measurements two months ago were at the 25th percentile. How should the nurse interpret these data?

1. The infant is not gaining enough weight.

2. The infant has gained a significant amount of weight.

3. The previous measurements were most likely inaccurate.

4. These measurements most likely are inaccurate.


2
Rationale:
1. This infant has gained significant weight to move up two percentiles.
2. A comparison of these two sets of measurements shows that the infant has crossed two percentiles, going from the 25th to the 75th percentile, and therefore has gained a significant amount of weight.
3. This is an assumption that the nurse cannot make.
4. If the nurse believes them to be inaccurate, then they should be repeated immediately.

Nursing

You might also like to view...

According to Maslow's Hierarchy of Needs, which patient need should the nurse address first?

1) Protecting the patient against falls 2) Protecting the patient from an abusive spouse 3) Promoting rest in the critically ill patient 4) Promoting self-esteem after a body image change

Nursing

When providing nursing care to a patient, the nurse provides family-centered nursing care. What is one rationale for this nursing action?

A) The nurse does not want the patient to feel lonely. B) The patient will be more compliant with medical instructions. C) The family will be more willing to listen to instructions. D) Illness in one family member affects all family members.

Nursing

Clinical students are receiving instruction on Francisella tularensis (tularemia). Which statements about tularemia demonstrate understanding by the students? (Select all that apply.)

a. "It begins with flulike symptoms." b. "It can develop into pneumonia or pleuritis, or both." c. "Tularemia can be treated with an antitoxin." d. "The treatment of choice for tularemia is intravenous streptomycin." e. "Tularemia is transmitted from person to person."

Nursing

Before applying povidone-iodine (Betadine) to a client's skin, what is a primary nursing intervention?

a. Apply a cortisone cream. b. Wash the skin. c. Shave and prepare the area. d. Ask client if he or she has any allergies.

Nursing