Question 1

The purpose of obtaining a hospitalized client's daily weight is usually to determine&#10;A)Client's fluid balance.&#10;B)Whether or not the client is eating.&#10;C)Consistency of the unit's scales.&#10;D)If a reduced calorie diet is working.

Accepted Answer

Obtaining a hospitalized client's daily weight is primarily done to assess their fluid balance. Changes in weight are indicative of changes in fluid volume, therefore providing valuable information for healthcare professionals to assess a client's hydration status and to make adjustments to their fluid intake or medication dosage as necessary.

Question 2

The body mass index (BMI)considers&#10;A)Client's clothing size.&#10;B)Client's height and weight.&#10;C)Client's age.&#10;D)Client's muscle mass.

Accepted Answer

The body mass index (BMI) is a measure of body fat based on a person's weight and height. It is calculated by dividing the weight in kilograms by the square of the height in meters. Clothing size, age, and muscle mass are not factored into the calculation of BMI.

Question 3

The rationale for using the same scale each time a client is weighed is&#10;A)The client becomes familiar with one particular method.&#10;B)You know that the scale is balanced correctly.&#10;C)The same scale gives consistency in weight from day to day.&#10;D)The physician orders a particular scale and the nurse must follow orders.

Accepted Answer

Using the same scale each time a client is weighed provides consistency in weight measurements from day to day, which can be helpful for monitoring changes in weight over time. It also helps to ensure that any changes in weight are reflective of actual changes in body weight rather than differences in measurement methods. Familiarity with one particular method (A) is not as important as consistency. Although it is important to know that a scale is balanced correctly (B), this does not necessarily require using the same scale each time. Option D is not relevant as there is no indication in the question that the physician has ordered a particular scale.

Question 4

Rationale for having the client sign an AMA form is to:&#10;A)Document the exact number of days hospitalized.&#10;B)Release the hospital of any responsibility for any further care for the client.&#10;C)Release the hospital of responsibility for ill consequences of AMA discharge.&#10;D)Notify risk management of client dissatisfaction of care provided.

Accepted Answer

The form releases the hospital from responsibility for ill effects resulting from AMA discharge.

Question 5

When a client leaves the agency AMA,he/she&#10;A)Is accompanied by agency security.&#10;B)Is accompanied by nursing staff.&#10;C)Is accompanied by an agency volunteer.&#10;D)leaves alone or with friends/family.

Accepted Answer

Clients are free to leave the agency AMA (against medical advice) on their own or with friends or family. They are not required to be accompanied by agency security, nursing staff, or volunteers unless there are specific safety concerns or medical issues that require supervision.

Question 6

A client's weight has increased by 5 pounds since yesterday.All of the following interventions should be implemented except&#10;A)Check I & O record.&#10;B)Check if scale is balanced correctly.&#10;C)Check the clothing the client wore on both days.&#10;D)Use a different scale to check the weight.

Accepted Answer

Using a different scale is not necessary. The other options are important interventions to ensure accurate and consistent measurement of the client's weight.

Question 7

Once an advance directive is made it cannot be changed.

Accepted Answer

Advance directives can be changed or revoked at any time as long as the individual is deemed to have decision-making capacity. It is important to regularly review and update advance directives to ensure they reflect the individual's current wishes and values.

Deck 5: Admission, Transfer, and Discharge