The nurse is assessing a preterm newborn's fluid and hydration status. Which of the following would alert the nurse to possible overhydration?

A) Decreased urine output
B) Tachypnea
C) Bulging fontanels
D) Elevated temperature


C
Feedback:
Bulging fontanels in a preterm newborn suggest overhydration. Sunken fontanels, decreased urine output, and elevated temperature would suggest dehydration.

Nursing

You might also like to view...

A man who has had a vasectomy becomes functionally sterile because the sperm:

1. Are no longer being produced. 2. Are no longer motile and fertile. 3. Cannot reach the outside of the body. 4. Cannot penetrate an ovum.

Nursing

A nurse is planning care for a newborn with a congenital heart defect. Which interventions would the nurse include? (Select all that apply.)

a. Administering oxygen as ordered b. Administering medications as prescribed c. Maintaining a thermoneutral environment d. Continuous monitoring of the infant's cardiac and respiratory status e. Gavage feeding if necessary to decrease the workload of the heart f. Offering comfort measures to minimize crying when it precipitates cyanosis

Nursing

The middle-aged client reports having diabetes mellitus since childhood. Today's blood glucose reading is 180. Because of this history, the nurse would monitor this client for which sensory disturbance?

A) Loss of ability to smell B) Hearing loss C) Vision loss D) Loss of ability to taste

Nursing

The nurse is counseling a family with a child who has been abused in the past. The nurse should explain to the parents that the child needs:

A) A supportive relationship with an adult. B) Long-term psychotherapy. C) Antidepressant medications. D) Short-term separation from the parents.

Nursing