Nokea
The nurse is using calipers to measure skinfold thickness over the triceps muscle in a school- age child. What is the purpose of doing this?
- A. To measure body fat
- B. To measure muscle mass
- C. To determine arm circumference
- D. To determine accuracy of weight measurement
Correct Answer: A
Rationale: Skinfold thickness measurements using calipers are commonly used in assessing body composition, specifically to estimate body fat percentage. By measuring skinfold thickness over the triceps muscle in combination with measurements from other sites on the body, healthcare professionals can estimate the amount of subcutaneous fat present. This information is valuable in evaluating an individual's overall body composition and health status. The triceps skinfold measurement is a commonly included site in body fat calculations, especially in school-age children, where it can provide insights into growth and development.
You may also like to solve these questions
The nurse is caring for a client in the emergency room diagnosed with Bell's palsy. The client has been taking acetaminophen (Tylenol), and acetaminophen overdose is suspected. The nurse anticipates that the antidote to be prescribed is:
- A. Pentostatin (Nipent)
- B. Fludarabine (Fludara)
- C. Auranofin (Ridaura)
- D. Acetylcysteine Mucomyst)
Correct Answer: D
Rationale: Acetylcysteine (Mucomyst) is the antidote for acetaminophen (Tylenol) overdose. If an overdose of acetaminincophen is suspected, acetylcysteine should be administered within 8-10 hours of ingestion to prevent liver damage and failure. Pentostatin, Fludarabine, and Auranofin are not antidotes for acetaminophen overdose and are used for other medical conditions.
Which of the following nursing actions is appropriate when a patient returns to his or her room after a bronchoscopy?
- A. Order a meal because the patient has been nil per os (NPO) for 8 hours.
- B. Encourage fluids to flush dye from the patient's system.
- C. Monitor the patient for return to consciousness.
- D. Check for a gag reflex before allowing the patient to drink.
Correct Answer: D
Rationale: After a bronchoscopy procedure, it is essential to check for the presence of a gag reflex before allowing the patient to drink. This is crucial to prevent aspiration, as the gag reflex helps protect the airway by triggering swallowing and preventing foreign material from entering the lungs. Allowing the patient to drink without assessing the gag reflex could lead to serious complications such as aspiration pneumonia. Therefore, checking for the gag reflex is an appropriate nursing action to ensure the safety and well-being of the patient after a bronchoscopy.
Which of the ff precautions must a nurse take while caring for clients with HIV/AIDS to reduce occupational risks?
- A. Transport specimens of body fluid in leakproof containers
- B. Seek prescription for a fusion inhibitor to reduce risk of infection
- C. Avoid administering IV drugs
- D. Avoid cleaning the clients room, esp cleaning urine, stool, or vomit
Correct Answer: A
Rationale: When caring for clients with HIV/AIDS to reduce occupational risks, a nurse must take precautions to minimize the risk of exposure to body fluids that may contain the HIV virus. Transporting specimens of body fluid in leakproof containers helps prevent accidental spills or leakages that could lead to exposure. Proper handling and containment of body fluids are essential to reducing the risk of transmission of HIV to healthcare workers. This precaution is in line with standard infection control practices to ensure the safety of healthcare providers and minimize the risk of occupational exposure to bloodborne pathogens like HIV.
At a public health fair, a nurse discusses the dangers of sun exposure. Prolonged sun exposure has been blamed for which form of cancer?
- A. Malignant melanoma
- B. Basal cell epithelioma
- C. Squamous cell carcinoma
- D. All of the above
Correct Answer: D
Rationale: Prolonged sun exposure is indeed a known risk factor for all three types of skin cancer listed in the choices. Malignant melanoma is a serious form of skin cancer that develops in the melanocytes, the cells that produce skin pigment. Basal cell epithelioma and squamous cell carcinoma are two other common types of skin cancer that are largely attributed to sun exposure. It is crucial to protect your skin from the harmful effects of the sun by applying sunscreen, wearing protective clothing, and seeking shade when necessary to reduce the risk of developing skin cancer.
When instructing the client diagnosed with hyperparathyroidism about diet, the nurse should stress the importance of which of the following?
- A. Restricting fluids
- B. Forcing fluids
- C. Restricting sodium
- D. Restricting potassium
Correct Answer: C
Rationale: For clients diagnosed with hyperparathyroidism, it is important to restrict sodium in the diet. High sodium intake can worsen calcium loss from the bones and increase the risk of kidney stones, both of which are concerns for individuals with hyperparathyroidism. Therefore, it is crucial to advise the client to limit their sodium intake to help manage their condition effectively.