A nurse is collecting data from a female client who has a body mass index of 32. The nurse should classify the client as which of the following?

Overweight

Underweight

Obesity class I

Normal weight

Answer and Explanation

The Correct Answer is C

A. Overweight: A body mass index (BMI) between 25 and 29.9 is classified as overweight. Since the client’s BMI is 32, this category does not apply.

B. Underweight: A BMI less than 18.5 is considered underweight. The client’s BMI of 32 is well above this range, ruling out this classification.

C. Obesity class I: A BMI between 30 and 34.9 falls into obesity class I. The client’s BMI of 32 fits into this category, indicating a level of obesity that increases the risk for chronic health conditions.

D. Normal weight: Normal weight is defined as a BMI between 18.5 and 24.9. Since the client’s BMI exceeds this range, this classification is not appropriate.

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Correct Answer is A

Explanation

A. The client holds the cane on the stronger side of their body: Holding the cane on the stronger side improves balance and support while reducing strain on the weaker limb. It also helps coordinate movement and distribute weight more efficiently during ambulation.

B. The client advances the cane forward 12.7 cm (5 in): The cane should typically be advanced 15 to 25 cm (6 to 10 inches) forward for optimal support. Advancing it only 5 inches may provide insufficient balance assistance during walking.

C. The client moves their stronger leg forward first: The weaker leg should move forward after the cane to allow the stronger leg to support most of the weight. This pattern maximizes stability and safety during ambulation.

D. The top of the cane is at the same height as the client's waist: The cane should be level with the wrist crease when the client’s arms are relaxed at their sides, not at waist level. A cane that is too high or low can cause discomfort or improper posture.

A. The stoma protrudes slightly from the abdomen. B. The stoma bleeds lightly when touched. C. The stoma is draining a small amount of liquid stool. D. The stoma appears dark in color.

Correct Answer is D

Explanation

A. The stoma protrudes slightly from the abdomen: A stoma that protrudes slightly (about 1–2 cm) above the skin surface is normal and indicates healthy placement. This finding does not require reporting.

B. The stoma bleeds lightly when touched: Light bleeding with gentle palpation or cleaning is common due to the stoma’s rich blood supply and is generally not concerning unless bleeding is excessive.

C. The stoma is draining a small amount of liquid stool: Liquid stool drainage is expected from a colostomy, especially in the early postoperative period. This is a normal finding that does not require reporting.

D. The stoma appears dark in color: A dark, dusky, or black stoma indicates compromised blood flow and possible ischemia or necrosis. This is a serious finding that requires immediate reporting to prevent further complications.

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A nurse is collecting data from a female client who has a body mass index of 32. The nurse should classify the client as which of the following?

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