A nurse is weighing and measuring a client with severe kyphosis. ...

[future617RT]

A nurse is weighing and measuring a client with severe kyphosis. What is the best method to obtain this client's height?
 
  a. Add the trunk and leg measurements.
  b. Ask the client how tall he or she is.
  c. Estimate by measuring clothing.
  d. Use knee-height calipers.

Question 2

A client is receiving total parenteral nutrition (TPN). What action by the nurse is most important?
 
  a. Assessing blood glucose as directed
  b. Changing the IV dressing each day
  c. Checking the TPN with another nurse
  d. Performing appropriate hand hygiene

[vseab]

Answer to Question 1

ANS: D
A sliding blade knee-height caliper is used to obtain the height of a client who cannot stand upright, such as those with kyphosis or lower extremity contractures. The other methods will not yield accurate data.

Answer to Question 2

ANS: D
Clients on TPN are at high risk for infection. The nurse performs appropriate hand hygiene as a priority intervention. Checking blood glucose is also an important measure, but preventing infection takes priority. The IV dressing is changed every 48 to 72 hours. TPN does not need to be double-checked with another nurse.