Fundamentals Pre-
Assessment
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Terms in this set (29)
A nurse is C. 25
completing a Rationale: Healthy weight is
nutritional indicates by a BMI of 18.5-24.9.
assessment Overweight is defined as an
on a client increased body weight in
and measures relation to height. It is
body mass indicated by a BMI of 25-29.9.
index (BMI). Obesity is an excess amount of
Which of the body fat. It is indicated by a
following BMI greater than or equal to
readings 30.
correlates Underweight- less than 18.5
with a BMI of
an
overweight
client?
A. 18.5
B. 24.9
C. 25
D. 32
,A nurse is A. 2
verifying Rationale: A good indication of
nasogastric appropriate placement is
tube obtaining gastric contents with
placement by a pH between 0 and 4.
the pH of
aspirated
gastric fluid.
Which of the
following pH
values
provides a
good
indication of
correct tube
placement?
A. 2
B. 5
C. 7
D. 9
,A nurse is B. 7 (comatose)
caring for a Rationale:
client with a Eye Opening (ranges from 4-1)
closed head 4 = spontaneous
injury. When 3 = to voice
pressure is 2 = to pain
applied to 1 = none
client's nail Verbal (ranges from 5-1)
beds, the 5 = oriented
client's eyes 4 = confused
open and 3 = inappropriate words
adduction of 2 = incomprehensible sounds
the arms with 1= none
flexion of the Motor (raged from 6-1)
elbows and 6 = obeys command
wrists is 5 = localizes pain
noted. The 4 = withdraws
client also 3 = flexion (decorticate
moans with posturing)
stimulation. 2 = extension (decerebrate
What is the posturing)
client's 1 = none
Glascow
Coma Score?
A. 4
B. 7
C. 9
D. 10
, A nurse C. A client who has a right
should teach femur fracture with no weight
which of the bearing on the affected leg.
following Rationale: A three-point gait
clients requires the client to bear all
requiring of his weight on one foot. With
crutches a three-point gait, the client
about how to bears weight on both crutches
use a three- and then on the uninvolved
point gait? leg, repeating the sequence.
A. A client The affected leg does not
who is able to touch the ground.
bear full
weight on
both lower
extremities.
B. A client
who has
bilateral leg
braces due to
paralysis of
the lower
extremities.
C. A client
who has a
right femur
fracture with
no weight
bearing on
the affected
leg.
D. A client
who has
bilateral
knee-