A preterm infant has been started on IV fluids. When assessing the patient, which findings would indicate to the nurse that goals for this therapy are being met? (Select all that apply.)
A.
Intake greater than output by 24 hours
B.
Lack of tremors and irritability
C.
Respiratory rate of 35 breaths/minute
D.
Urine output of mL/kg/hour
E.
Urine specific gravity of < 1.012
ANS: D, E
In the first few days of life, the goal for hydration is to maintain a urine output of 1-3 mL/kg/hour and a urine specific gravity of < 1.012. The other assessments are not related.
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The nurse is performing a review of systems on a 76-year-old patient. Which of these statements is correct for this situation?
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The sign that suggests possible damage to the cortex of the brain is ____________ posturing
ANS:
A patient who is on an intracranial pressure monitor after an acute head injury has an intracranial pressure of 10 mm Hg at rest
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The spread of cancer cells to other parts of the body through the blood and lymphatic systems is called
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