NCLEX-PN

Category - Basic Care

The nurse is assigned to monitor the abdominal girth of a client with ascites. To ensure accurate assessment findings, which of the following assessment techniques should the nurse utilize?
  1. Measure the abdominal girth at the level of the umbilicus
  2. Measure the abdominal girth before the first meal of the day
  3. Abdominal girth is measured after voiding the first urine
  4. Abdominal girth is measured while asking the client to hold her breath
Explanation
Answer: A - The most effective technique to ensure accurate measurements of the abdominal girth is to obtain measurements at the same site, usually at the level of the umbilicus. The other options are not correct.
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