A nurse is caring for a child who was admitted to the Pediatric unit with infectious diarrhea. The nurse should be alert to what parameter as an indicator of dehydration?

A) Moist mucus membranes
B) Weak pulse
C) Profuse salivation
D) Increased tearing


Ans: B

Feedback: Assessment of dehydration includes evaluation of thirst, oral mucous membrane dryness, sunken eyes, a weakened pulse, and loss of skin turgor. Profuse salivation, increased tearing, and moist mucus membranes are not indicators of dehydration.

Nursing

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A middle-age patient was admitted to the trauma intensive care unit after a motor vehicle accident. The nurse notes that the patient becomes increasingly agitated when visitors stay for an extended period or after nursing interventions

The nurse identifies this as sensory overload. Which of the following would most likely help the patient? (Select all that apply.) a. Reducing the number of visitors to her room b. Performing dressing changes with the bath c. Providing a dedicated period of rest time each afternoon d. Requesting that health care providers do rounds when the family is available e. Coordination with other departments for tests and examinations

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An autosomal dominant disorder involves the:

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Adolescent boys generally require more protein than adolescent girls because

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The client asks the nurse how Lipitor will help lower cholesterol. Which response by the nurse is most appropriate?

1. Its action is not understood. 2. It makes the body excrete cholesterol quicker. 3. It binds to cholesterol and inhibits its production. 4. It interferes with how cholesterol is made.

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