When a patient is receiving diuretic therapy, which of these assessment measures would best reflect the patient's fluid volume status?
a. Blood pressure and pulse
b. Serum potassium and sodium levels
c. Intake, output, and daily weight
d. Measurements of abdominal girth and calf circumference
ANS: C
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While turning a patient who had a bowel resection yesterday, the wound eviscerated. What is the initial nursing intervention?
a. Place the patient in the high Fowler's position. b. Give the patient fluids to prevent shock. c. Replace the dressing with sterile fluffy pads. d. Apply a warm, moist normal saline sterile dressing.
Hearing loss occurs in 1 to 3 well newborns per 1000 births. Auditory screening of all newborns within the first month of life is recommended by the American Academy of Pediatrics
Reasons for having this testing performed include which of the following? Select all that apply. a. To prevent or reduce developmental delay b. Reassurance for concerned new parents c. Early identification and treatment d. To help the child communicate better e. To achieve one of the Healthy People 2010 goals
Which technique should the nurse use to assess for a femoral hernia?
A. Have the client lie on the affected side; press downward on the groin while the client coughs. B. Have the client lie on the unaffected side; press upward on the groin while the client coughs. C. Have the client stand, and press downward on the scrotal sac with an index finger while the client coughs. D. Have the client stand, and press the scrotal skin upward on the affected side with an index finger while the client coughs.
A newborn infant weighs 7 pounds, 2 ounces, on the fifth day of life. How much water should be given to the newborn based on required fluid needs?
a. Fluid replacement should be based on weight and calculated in the range of 60 to 100 mL/kg. b. Offer additional water to tolerance in between infant feedings to maintain hydration. c. Give 12 ounces of fluid per feeding. d. No water is needed because formula and breast milk are adequate to maintain hydration.