The charge nurse observes a practical nurse (PN) measuring the waist circumference of a client who has expressed a concern about health problems related to obesity. Which action should the nurse implement?

Advise the PN that waist circumference measurements are valuable to assess fluid retention but not obesity.

Tell the PN that this assessment technique should be performed by the nurse.

Review the measurement obtained by the PN and compare with ideal measurements for this client.

Instruct the PN to measure the client's waist circumference every 8 hours to assess for changes.

Answer and Explanation

The Correct Answer is C

A.   Advise the PN that waist circumference measurements are valuable to assess fluid retention but not obesity. This statement is incorrect. Waist circumference is a valuable measure for assessing abdominal obesity and related health risks.

B.   Tell the PN that this assessment technique should be performed by the nurse. Measuring waist circumference is within the scope of practice for a practical nurse and does not need to be performed by a registered nurse.
C.   Review the measurement obtained by the PN and compare with ideal measurements for this client. This action ensures that the measurement is accurate and provides an opportunity to educate the client about the significance of waist circumference in relation to obesity and associated health risks.
D.   Instruct the PN to measure the client's waist circumference every 8 hours to assess for changes. Waist circumference does not change significantly over such a short period and does not need to be measured this frequently.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Oatmeal with honey, applesauce, and pear nectar. While oatmeal may be suitable for some

individuals with dysphagia, adding honey and pear nectar increases the risk of aspiration due to their liquid consistency. Applesauce may also pose a risk depending on the client's swallowing ability.
B. Pancakes with syrup, link sausage, and orange juice. This meal contains several items that may be difficult for someone with dysphagia to swallow safely, including pancakes with syrup and link sausage. Orange juice may also pose a risk of aspiration.
C. An oral nutritional supplement. Oral nutritional supplements are designed for individuals with dysphagia who have difficulty swallowing solid foods. They provide essential nutrients in a
liquid form that is easier to swallow and can help maintain adequate nutrition in clients with dysphagia.
D. Scrambled eggs, bacon, toast, milk, and coffee. This meal contains several items that may be difficult for someone with dysphagia to swallow safely, including scrambled eggs and toast. Milk and coffee may also pose a risk of aspiration.

A. Twenty-four hour food recall, preferences, and allergies. B. Body mass index (BMI) and serum albumin level. C. Weight loss history and body surface area (BSA). D. Triceps skin fold and mid-arm circumference.

Correct Answer is B

Explanation

A. Twenty-four hour food recall, preferences, and allergies. While these can provide useful

information about the client’s dietary habits and potential issues, they do not directly measure nutritional status.
B. Body mass index (BMI) and serum albumin level. BMI gives an indication of body weight relative to height, and serum albumin is a key indicator of protein status and overall nutritional health. Together, they are strong indicators of nutritional status.
C. Weight loss history and body surface area (BSA). Weight loss history is important, but BSA is not typically used to assess nutritional status.
D. Triceps skin fold and mid-arm circumference. These measurements assess body fat and muscle mass, which are useful, but BMI and serum albumin provide a more comprehensive picture of overall nutritional status.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The charge nurse observes a practical nurse (PN) measuring the waist circumference of a client who has expressed a concern about health problems related to obesity. Which action should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who has dysphagia as the result of a stroke. Which breakfast should the nurse provide this client?

Correct Answer is C

Explanation

The nurse is admitting an older adult client with possible malnutrition. Which parameters are most indicative of the client's nutritional status?

Correct Answer is B

Explanation

The nurse is planning a nutrition class for vegans. Which food should the nurse encourage to be combined with other foods to enhance the nutritional intake in the vegan diet?

While caring for a client receiving total parenteral nutrition (TPN), it is most important for the nurse to monitor which of the client's laboratory values?

An older adult client with unintentional weight loss and a decline in physical health reports to the nurse of skipping meals to save money for prescribed medications. Which action is best for the home health nurse to implement?

The nurse is caring for a client admitted with chronic kidney disease advancing to stage 4. The nurse should instruct the client to limit the ingestion of which type of foods?

A client is receiving a continuous gastric tube feeding at 80 mL/hour. The nurse records the client's gastric residual volume as 325 mL during each of two consecutive hourly measurements. Which assessment should the nurse complete before contacting the healthcare provider?

A client has a serum sodium level of 155 mEq/L (155 mmol/L). The nurse should encourage the client to make which selection from the lunch menu? Reference Range: Sodium [136 to 145 mEq/L (136 to 145 mmol/L)]

A client who has been NPO has a new prescription to progress the diet as tolerated. In which sequence should the nurse progress the client's diet? (Arrange from first action on top to last on the bottom.)

A clear liquid breakfast is prescribed for a client who is scheduled for surgery later today. The client asks the nurse for a small cup of chocolate ice cream. Which action should the nurse take?