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A nurse at a health fair is assessing the weight status of four clients. Which of the following clients are classified as overweight?

A.

A male client who has a waist circumference of 96.52 cm (38 in)

B.

A female client who has a body mass index of 24

C.

A female client who has a waist circumference of 101.6 cm (40 in)

D.

A male client who has a body mass index of 29

Answer and Explanation

The Correct Answer is D

A.    Waist circumference alone is not a direct measure of overweight or obesity but can be an indicator of abdominal fat, which is a risk factor for health issues. For males, a waist circumference greater than 102 cm (40 in) is generally considered an increased risk for health problems related to obesity.
B.    Body Mass Index (BMI) is a commonly used measure to classify weight status. For adults, a BMI of 24 falls within the "normal weight" range, which is between 18.5 and 24.9. This client is not classified as overweight, as the threshold for overweight is a BMI of 25 or higher.
C.    For females, a waist circumference greater than 88 cm (35 in) is often considered an increased risk for health issues related to obesity. At 40 inches (101.6 cm), this female client exceeds the threshold and may be at higher risk for obesity-related health problems, though this does not strictly classify her as overweight based on BMI or waist circumference alone.
D.    A BMI of 29 falls into the "overweight" category, which ranges from 25 to 29.9. Therefore, this male client is classified as overweight based on his BMI.


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Correct Answer is B

Explanation

A. Keeping spare crutch tips handy is a proactive approach to ensure that if the current tips become worn out or damaged, they can be replaced promptly. This helps maintain stability and prevent accidents.
B. Proper use of crutches involves bearing weight on the hands and not on the armpits. If a client bears weight on the armpits, it can lead to nerve damage and discomfort. The correct technique is to distribute weight through the hands and wrists while using the crutches for support, not directly on the armpits.
C. Regular inspection of crutches for signs of wear is important for safety. Checking for issues like worn tips, loose fittings, or damaged parts helps prevent accidents and ensures that the crutches are functioning properly.
D. This statement indicates a need for further teaching. Using crutches that are not specifically fitted for the client can lead to improper use and potential injury. Crutches should be properly adjusted to the user's height and needs. If the crutches from another person are not correctly sized or adjusted, they may not provide adequate support or safety.

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