The Nursing Care Plan Specifies Obtaining Abdominal Girth Measurements Each
The nursing care plan specifies obtaining abdominal girth measurements each shift.The nurse takes the measurement,but when compared with the previous measurement,the new finding is several millimeters off.Which action by the nurse is best?
A) Document the finding in the client's chart.
B) Look to see when the client last had a dose of diuretic.
C) Ensure that the client's abdomen and flanks are marked with pen.
D) Obtain the measurement while the client sits upright.