Which assessment findings indicate to the nurse that a child has fluid volume excess? Select all that apply
a. Weight gain
b. Decreased blood pressure
c. Moist breath sounds
d. Poor skin turgor
e. Rapid bounding pulse
A, C, E
A child with fluid volume excess will have weight gain, moist breath sounds due to the excess fluid in the pulmonary system, and a rapid bounding pulse. Other signs seen with fluid volume excess are increased blood pressure, edema, and fatigue. Decreased blood pressure and poor skin turgor are signs of fluid volume deficit.
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Utilizing Bronfenbrenner's ecologic theory of development, the nurse caring for a child would discuss the parents' work environment as part of an assessment of that child's:
1. Chronosystem. 2. Mesosystem. 3. Macrosystem. 4. Exosystem.
The nurse receives a job offer in a state other than the state of residence that is not part of the nursing compact. The nurse obtains licensure in the state where he will be working by:
1. Taking the NCLEX-PN® in the new state. 2. Submitting his NCLEX-PN® score for review to the new state of employment. 3. Applying for licensure by endorsement in the state of employment. 4. Applying for a work permit.
The nurse is caring for a patient who is showing a sinusoidal fetal heart rate pattern on the monitor
The nurse knows that possible causes for this pattern include: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Fetal anemia. 2. Chronic fetal bleeding. 3. Maternal hypotension. 4. Twin-to-twin transfusion. 5. Umbilical cord occlusion.
The nurse is reviewing the tissue requirements for organ recipients and donors. Which statement correctly describes which recipients can receive an organ from which donor?
1. Recipients with blood type O are universal recipients. 2. Recipients with blood type A can receive donations from donors with blood types A, AB, and O. 3. Recipients with blood type B can receive donations from donors with blood types A, B, and O. 4. Recipients with blood type AB can receive an organ from any donor blood type.