In caring for the premature newborn, the nurse must assess hydration status continually. Assessment parameters should include: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Volume of urine output.
2. Weight.
3. Blood pH.
4. Head circumference.
5. Bowel sounds.
1,2
Rationale 1: In order to assess hydration status, volume of urine output must be evaluated.
Rationale 2: In order to assess hydration status, the infant's weight must be evaluated.
Rationale 3: Blood pH is not an indicator of hydration.
Rationale 4: Head circumference is not an indicator of hydration.
Rationale 5: Bowel sounds are not an indicator of hydration.
You might also like to view...
The nurse is preparing to insert a peripheral IV catheter into a patient who will require fluids and IV antibiotics. How should the nurse always start the process of insertion?
A) Leave one hand ungloved to assess the site. B) Cleanse the skin with normal saline. C) Ask the patient about allergies to latex or iodine. D) Remove excessive hair from the selected site.
The correct order of actions in the management of the postoperative surgical trauma patient who has been admitted to the critical care unit after surgery is: _______________, _______________, _______________,_______________
(Put a comma and space between each answer choice.) a. Connect the patient to bedside monitor and mechanical ventilator. b. Obtain vital signs, rhythm, oxygen saturation, and neurological status. c. Assess airway, breathing, and circulation. d. Reassess and evaluate patency of IV lines, and adjust rate of fluid administration as ordered.
While percussing the abdomen, the nurse notes tympany. The organ that the nurse most likely is percussing over would be the:
a. pancreas. b. liver. c. stomach. d. spleen.
The nurse is performing a pain assessment when the older adult patient reports pain in his left shoulder that radiates down into the forearm. The nurse immediately
a. recognizes that the patient is experiencing cardiac distress. b. alerts the rapid response team to provide emergency care. c. asks whether he has ever experienced this pain before. d. questions the patient about additional re-lated symptoms.