The nurse is measuring and evaluating waist circumferences to screen for cardiovascular disorders and type 2 diabetes mellitus
For which of the following clients would the nurse find to be most appropriate to use their waist circumference for this purpose? 1. Client diagnosed with cirrhosis
2. Pregnant female client
3. Client diagnosed with Peripheral Arterial Disease
4. Client with pancreatic cancer
3
Rationale: It is not appropriate to use a client's waist circumference as a way to screen for cardiovascular diseases and type 2 diabetes mellitus if the client has a medical condition that produces a rotund abdomen. Clients with cirrhosis may have ascites due to low albumin levels. Nurses should not screen pregnant female clients for these disorders with this method. It would be appropriate to screen clients with peripheral arterial disease with this method. It would not be appropriate to use this screening method in clients with pancreatic cancer. Their abdomen may be larger due to the tissue mass within the abdomen.
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