Which actions should the nurse implement when assessing the ...

[NguyenJ]

Which actions should the nurse implement when assessing the physical growth for a child who is diagnosed with chronic renal failure? Select all that apply.
 
  1. Asking the child to step on the scale
  2. Measuring the child's height
  3. Measuring the child's head circumference
  4. Using the Denver II with the child
  5. Monitoring the child's blood pressure

Question 2

A postpartum client weighing 165 lb is prescribed to take 12 mg/kg/day of lysine to help with afterpains. If the client ingests 375 mg of lysine in food, how many additional milligrams of the supplement should the client take? (Calculate to the nearest whole number.)
 
  What will be an ideal response?

[wilsonbho]

Answer to Question 1

1, 2, 3
Explanation:
1. Weight is a physical growth assessment parameter the nurse uses for a child diagnosed with chronic renal failure.
2. Height is a physical growth assessment parameter the nurse uses for a child diagnosed with chronic renal failure.
3. Head circumference is a physical growth assessment parameter the nurse uses for a child diagnosed with chronic renal failure.
4. The Denver II is a developmental assessment tool. It is not used to assess physical growth.
5. Blood pressure is not a criterion used to measure physical growth.

Answer to Question 2

525 mg
Explanation: First determine the client's weight in kilograms by dividing the weight in pounds by 2.2, or 165/2.2 = 75 kg. Then determine the amount of lysine that should be taken each day by multiplying the client's weight by 12, or 75  12 mg = 900 mg. If the client ingests 375 mg of lysine each day in food, then subtract this amount from the total amount of lysine, or 900  375 = 525 mg.