Why do we measure height and weight? - Answers These measurements can reflect patients
overall health
-Compare pt readings to that of general population
-Indicate probability of some diseases
-Assists in determining cause of problems/ developing plan of care
Measuring height: - Answers Patient is to remove shoes, place clean paper towel on platform,
stand straight and look forward with heels together, lower sliding arm until it rests of patients
head
Conversion factor for height: - Answers 1 inch = 2.5 cm
(Ex. 5' 7'' = 67 inches = 67in x 2.5cm = 167.5 or 168 cm)
Weight is always done upon - Answers Admission to obtain a baseline (Weight varies daily
based on fluid gain/loss)
Daily weights are done to - Answers -Track trends
-Assess fluid gains/losses
-Assist in nutritional assessments
-Calculate medication dosages (Based upon patients weight in kg)
Accurate weight measurement: - Answers Balance scale before each use
-Same scale, same clothing, same time of day (Before breakfast is best), empty bladder prior to
weighing, remove shoes, and place paper towel on platform
Weight gain: - Answers More than 5 pounds (2.3 kg) in a day can indicate fluid retention
problems
Weight loss: - Answers -More than 5% of body weight in 1 month
-More than 10% of body weight in 6 months
Conversion factor for weight: - Answers 1 kg = 2.2 pounds
(Ex. 172 pounds / 2.2 kg = 78.18 kg = 78.2 kg)
-ALWAYS round weight in kilograms to the tenths place
BMI measurement: - Answers Measure of body fat based on height and weight that applies to
, adult men and women
BMI: Underweight, Normal weight, Overweight, and Obese - Answers Underweight: less than
18.5
Normal weight: 18.5-24.9
Overweight: 25-29.9
Obese: 30 or greater
Intake and Output - Answers The measurement of all fluid intake and output in a 24 hour period,
note trends
-Measured to assess fluid and electrolyte balance
-Intake: oral, enteral, IV
-Output: urine, drains, liquid stool, emesis
Intake and output is required for all patients with - Answers IV therapy, any type of drainage
(urinary catheter, NG tube), certain medical conditions, following a procedure, unstable patient
condition, febrile patients, fluid restriction, diuretic therapy, chronic cardiopulmonary or renal
illness, diabetes, malnutrion
*Conditions to report to physician regarding I+O*: - Answers -If 24 hour intake is less than 500
mL
-If 1 hour urine output is less than 30 mL (720 mL per day)
Intake should equal output +/- 200 mL. If intake is greater than output, this means ___________. If
intake is less than output, this means _______________. - Answers Fluid excess
Fluid deficit
30 mL = - Answers 1 ounce
5 mL = - Answers 1 teaspoon
For a female external catheter: What position should the patient be placed for placement of the
external catheter device? - Answers Supine, side-lying, frog-legged, or lying on back with knees
bent and thighs apart (lithotomy position)
For a female external catheter: Which side of the device is placed facing the patient? - Answers
The gauze side is placed facing the patient
For a female external catheter: What are the anatomical landmarks for placement of the
external device? - Answers The top of the gauze is aligned with the pubic bone. It is gently