The nurse is assessing the 1-month-old infant's fontanels and notes they are sunken. Based on this data, which conclusion is most appropriate?

1. Infection.
2. Thyroid disease.
3. Dehydration.
4. Fetal Alcohol Syndrome.


Correct Answer: 3
Sunken or depressed fontanels in an infant can indicate dehydration. Infection would result in bulging fontanels. Thyroid disease would not necessarily alter the state of the fontanels. Fetal Alcohol Syndrome results in specific facial malformations.

Nursing

You might also like to view...

An older male adult who is Hispanic states he is not having pain, but he had knee re-placement surgery 2 days ago

Which is the best pain assessment tool as recommended by the Hartford Institute for Geriatric Nursing (HIGN) from "Try This" for the nurse to apply for this man? a. Numeric Rating Scale b. Verbal Descriptor Scale c. Iowa Pain Thermometer d. Faces Pain Scale–revised

Nursing

An NP recently began employment in an emergency department. What would the primary role of the NP be in this setting?

a. Triage clients b. Manage nonemergent client problems c. Assess medically uninsured clients d. Provide health education about preventive health care

Nursing

During nutritional assessments for the following four clients, which of the clients weight history regarding an unplanned change in weight is most significant and has the highest priority for intervention?

1. The client weighed 155 pounds and lost 14 pounds during the last 6 months 2. The client weighed 200 pounds and lost 9 pounds in the last month 3. The client weighed 135 pounds and lost 14 pounds during the last 6 months 4. The client weighed 111 and lost 5 pounds in the last month

Nursing

An impact the popularity of alternative therapy has on nurse application of therapeutic interven-tions is that nurses:

1. Must be taught acupuncture technique 2. Need to understand herb-drug interactions 3. Will need physics courses to use bioelectromagnetics 4. Will use more manual healing methods

Nursing