A nurse is assessing the nutritional status of a child using anthropometric evaluations. Which of the following should the nurse include in the assessment? (Select All that Apply.)
Age
Body mass index (BMI)
Vital signs
Height
Weight
Routine laboratory tests
Correct Answer : B,D,E
A. While age is considered in growth charts, it is not an anthropometric measurement.
B. BMI is an important indicator of nutritional status and helps assess underweight, healthy weight, or overweight status.
C. Vital signs are not part of anthropometric measurements.
D. Height is a key anthropometric measure used to assess growth and development.
E. Weight is a fundamental anthropometric measure for assessing nutritional status.
F. Routine laboratory tests are not part of anthropometric measurements but may complement the assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D","E"]
Explanation
A. Providing frequent updates helps reduce uncertainty and reassures the parents that their child is receiving appropriate care.
B. Encouraging parental participation fosters a sense of control and involvement, which can reduce parental distress.
C. Increased healthcare rounds provide additional opportunities to address any emerging concerns and reassure the parents.
D. Interprofessional rounds at the bedside include the parents in care decisions and offer direct communication with the care team.
E. Educating parents about nursing interventions can reduce their anxiety and help them understand the care their child is receiving.
F. Providing the nurse's personal cell phone number is not appropriate or professional. The hospital should have established communication protocols.
Correct Answer is A
Explanation
A. Administering a bronchodilator like albuterol before CPT helps open the airways, making it easier to mobilize secretions.
B. CPT should be performed before meals or 1 to 2 hours after eating to prevent vomiting.
C. Vibration should be performed during exhalation, not inspiration, to help loosen secretions.
D. Percussing each lung segment for 15 minutes is excessive; typically, each segment is percussed for 3-5 minutes.
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