The nurse is documenting an hourly assessment of a patient who is being treated for full-thickness burns to his lower extremities. Assessment has revealed that the patient's abdominal girth is steadily increasing
This is most likely attributable to what pathophysiological process?
A) Presence of free air under the patient's diaphragm
B) Third spacing
C) Bladder distention due to urinary retention
D) Paralytic ileus
B
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__________ refers to standing measurement, whereas _______ refers to measurement while the infant is in a recumbent position
ANS:
Therapeutic management of the child with acute diarrhea and dehydration usually begins with
a. Clear liquids b. Adsorbents, such as kaolin and pectin c. Oral rehydration solution (ORS) d. Antidiarrheal medications such as paregoric
What is the best score a patient can make on the Glasgow Coma Scale?
A) 1 B) 10 C) 15 D) 25
When planning care of childbearing families, the nurse encounters different spiritual and religious beliefs and practices. Which spiritual practice could impact the nurse's care of the childbearing family?
1. A strong belief in reincarnation, and thus refusal of an autopsy 2. The desire to light candles at home during a naming ceremony 3. Request by the family to speak to a Roman Catholic priest 4. Refusing consent for a blood transfusion by a Jehovah's Witness