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can you please send me brief answer according to fundamental of nursing ninth edition.
List 3 actions that should be taken to ensure accurate weight measurement of a hospitalized patient. 1 Name 1 location that y
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  • Specific observation of patient's behavior:
  1. Level of consciousness. i.e awake, alert, or oriented.
  2. Assess the nutritional status of the patient.
  3. Assess the color, texture, posture, and mobility of the patient.
  4. Assess the personal hygiene and behavior of the patient.
  5. Assess the emotional status of the patient.
  • The action that should be taken for ensuring accurate weight measurement of a patient
  1. Explain to the patient about the importance of weight and its purposes.
  2. Ensure the weighing machine shows zero before positioning the patient.
  3. Empty the catheter bag, stoma, and any other drainage bag before weighing the patient to get an accurate measurement.
  • Cyanosis - nailbeds, fingers, lips.

pallor - conjunctiva, tongue.

Jaundice - skin, eyes.

  • Turgor - The pressure exerted within the cell against the cell wall.

Edema - Excess fluid in the body tissue causes swelling.

PEERLA - Pupillary response test that expands Pupil Equal, Round, Reactive to Light and Accommodation.

  • Lower arm (back of the hand) is the best location to check skin turgor. gently pinch a small portion of the skin and leave to observe the reposition of skin.
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