A rnurse ris rcaring rfor rof ra r9-month-old rinfant rwith rsevere rdehydration. rWhat rdoes rthe rnurse
rexpect rto r note rwhile rcompleting ra rphysical rassessment rof rthis rinfant?
1
Frothy rstools
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,r Correct
2
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,Weak, rrapid
rpulse r 3
Pale, rcopious
rurine r 4
Bulging ranterior rfontanel
A rweak, rrapid rpulse ris ran rexpected radaptation rwith ra rstate rof rsevere rdehydration rbecause rof
r hypovolemia. rChildren rwith runtreated rcystic rfibrosis rand rceliac rdisease rhave rfrothy rstools.
rThere ris rno r indication rthat rthis rinfant rhas reither rof rthese rdisorders. rSevere rdehydration
rresults rin rdecreased rurine r output rand rconcentrated rurine. rOne rof rthe rsigns rof rdehydration
rin ran rinfant ris ra rsunken, rnot rbulging, r anterior rfontanel.
82%
of rstudents rnationwide ranswered rthis rquestion
rcorrectly. r View rTopics
11138639
Confidence: rJust ra
rguess r Stats
Issue rwith rthis
rquestion? r 5.
A rnurse ris rcaring rfor ra r3-month-old rinfant rin rwhom ra rventriculoperitoneal rshunt rhas rbeen
rinserted. rWhat r should rthe rnurse rteach rthe rparents rduring rthe rpostoperative rperiod?
1
Position rthe rinfant ron rthe rside rwith rthe
rshunt. r 2
Be ralert rfor rleakage rof rfluid rfrom rthe
rincision. r Correct
3
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The rparents rmust rbe rtaught rto ridentify rclinical rmanifestations rof rincreased rintracranial
rpressure rbecause r it rmay rdevelop rif rthe rshunt rmalfunctions. rPosition rthe rinfant ron rthe rside
rwith rthe rshunt rplaces rtoo rmuch r pressure ron rthe rshunt; rthe rinfant rshould rbe rflat rand
rturned ron rthe runoperative rside. rCerebrospinal rfluid r will rnot rdrain rfrom rthe rincision. rDry
rsterile rdressings rare rapplied rafter rsurgery rto rprevent rinfection; rthey r may rbe rremoved rat
rthe rtime rof rdischarge.
75%
of rstudents rnationwide ranswered rthis rquestion
rcorrectly. r View rTopics
11075939
Confidence: rJust ra
rguess r Stats
Issue rwith rthis
rquestion? r 6.
A rnurse ris rteaching ra rclass rof rnew rparents rhow rto rposition rtheir rinfants rduring rthe rfirst rfew
rweeks rof rlife. r Which rposition rshould rthe rnurse rtell rthe rparents ris rthe rsafest?
Correct
r1
On rthe rback, rlying
rflat r 2
On reither rside, rhead rlying
rflat r 3
On rthe rleft rside, rhead rslightly
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