The home care nurse is visiting a 6-month-old infant with bronchopulmonary dysplasia (BPD). The nurse assesses the child for which signs of overhydration? (Select all that apply.)
a. Edema
b. Serum sodium of 140 mEq/L
c. Urine specific gravity of 1.008
d. Weight gain of 1 lb in 1 week
ANS: A, D
Nurses must be alert to signs of overhydration in an infant with BPD such as changes in weight, electrolytes, output measurements, and urine specific gravity and signs of edema. Six-month-old infants gain around 4 to 5 oz a week. One pound in 1 week would indicate fluid retention. Serum sodium of 140 mEq/L and urine specific gravity of 1.008 are normal values and indicate adequate fluid balance.
You might also like to view...
Your 33-year-old female patient reports the development of a "cold sore" on her lower lip. She asks if this is the kind of sore that is transmitted during sex. The clinician should explain that:
A. The sore can be either herpes type 1 or herpes type 2, and both can be transmitted during sex B. A cold sore in the oral region is caused by herpes type I, and this is not contagious C. Herpetic lesions on the lips and in the mouth are herpes type II and caused by oral sex D. A blood test is done to determine the specific type of virus because treatments for I and II differ
__________ is a surgical procedure in which the area of a mastectomy is refashioned to simulate the contour of a breast and optionally to create a nipple and areola
Fill in the blank(s) with correct word
The advantages of team nursing include: (Select all that apply)
1. Fosters team cooperation 2. Allows for ancillary staff autonomy 3. Strengthens the RN-client relationship 4. Facilitates decision making at the clinical level 5. Encourages collaboration between team members 6. Provides management experience for team leaders
________ is a mercury-based preservative that has been used for decades in the United States in multidose vials of some vaccines.
A. Triclosan B. Hexachlorophene C. Thimerosal D. Silver sulfadiazine