Which manifestation would the nurse expect in a 3-month-old with diarrhea?

A) Bulging fontanels
B) Swollen tongue
C) Dry diaper for 2 hours
D) No tears when crying


D) No tears when crying

Explanation: A) Signs of dehydration in infants and children include dry mouth and tongue, a lack of tears when crying, no wet diapers for 3 hours, sunken eyes and cheeks, sunken fontanels, listlessness, and irritability.
B) Signs of dehydration in infants and children include dry mouth and tongue, a lack of tears when crying, no wet diapers for 3 hours, sunken eyes and cheeks, sunken fontanels, listlessness, and irritability.
C) Signs of dehydration in infants and children include dry mouth and tongue, a lack of tears when crying, no wet diapers for 3 hours, sunken eyes and cheeks, sunken fontanels, listlessness, and irritability.
D) Signs of dehydration in infants and children include dry mouth and tongue, a lack of tears when crying, no wet diapers for 3 hours, sunken eyes and cheeks, sunken fontanels, listlessness, and irritability.

Nursing

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Which of the following is the primary assessment for all clients with lymphatic disorders?

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A hospitalized client who has been taking an antipsychotic medication for 2 weeks begins pacing and walking throughout the unit. He tells the nurse that he "cannot sit still." The nurse documents this finding as which of the following?

A) Akinesia B) Dystonia C) Pseudoparkinsonism D) Akathisia

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The bladder voids approximately ________ mL of urine at a time.

Fill in the blank(s) with the appropriate word(s).

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R.K. has no further episodes of chest pain, and she is discharged to home the next day. She is to see a cardiologist this week and set up an appointment for outpatient testing. As you present the discharge instructions, you review the proper technique for

Which statement by R.K. indicates that further teaching is needed? a. "At the first sign of chest discomfort, I will stop what I'm doing and sit down." b. "I will place one nitroglycerin tablet under my tongue." c. "If the chest pain does not stop, I can take another tablet in 5 minutes." d. "My husband will need to call 911 if the chest pain does not stop after three nitroglycerin tablets."

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