What sign(s) indicate(s) moderate dehydration? (Select all that apply.)
a. 10% weight loss
b. Dry mucous membranes
c. Normal anterior fontanel
d. Increased urinary output
e. Lethargy
ANS: A, B, C
The child that is moderately dehydrated will have lost 10% of his body weight, will have dry mucous membranes, normal (nonsunken) anterior fontanelle, decreased urine output, and will be irritable.
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A nurse caring for a paralyzed patient who has been diagnosed with reflex incontinence should include which of the following preventative measures in the teaching plan with this patient?
A) Regular perineal care to prevent skin breakdown B) Kegel exercises to strengthen the pelvic floor C) Small frequent meals D) Limited fluid intake to prevent incontinence
A nurse manager of a medical unit and a nurse manager of a critical care unit are discussing their personnel budgets. The medical unit budget is higher than the critical care unit budget
What are plausible reasons for this difference? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. There is a higher turnover rate of nursing staff on the medical unit. 2. Costs were incurred during a recent remodeling of the medical unit. 3. The client acuity on the critical care unit is higher. 4. The critical care manager is a better manager than the medical unit manager. 5. More staff on the medical unit received premium pay this year.
An 81-year-old man with dementia and advanced osteoarthritis has been placed in an extended-care facility
In light of this man's rheumatoid disorder and the need to preserve his current level of mobility, how should the nurse at the facility best position him in bed before he retires each night? A) Supine on a pressure-reducing air mattress B) In a semi-Fowler's position with a pillow under his knees C) Flat, on a firm mattress with two pillows under his head D) Flat, with his feet positioned against a footboard
The trauma client's spinal cord must be protected from injury. Therefore, the nurse should:
1. Apply a rigid cervical collar and logroll the client. 2. Keep the client on a backboard for the first 24 hours. 3. Keep the client supine until all diagnostic exams have been completed. 4. Keep the client flat and run a hand underneath to assess for posterior injuries.