Thompson12

1. Nurses must be alert for increased fluid requirements when a child has: a . Fever. b. Mechanical ventilation. c. Congestive heart failure. d. Increased intracranial pressure (ICP). ANS: A Fever leads to great insensible fluid loss in young children because of increased body surface area relative to fluid volume. Respiratory rate influences insensible fluid loss and should be monitored in the mechanically ventilated child. Congestive heart failure is a case of fluid overload in childr...

C During an examination of the abdomen the nurse should: a. position the patient in the supine position with the bed flat and the knees straight b. listen in the epigastrium and all found quadrants for 2 to 5 minutes for bowel sounds c. use the following order of techniques: inspections, palpation, percussion, auscultation d. describe bowel sounds if no sound is heard in the lower right quadrant after two minutes B A normal physical assessment finding of the GI system is/are: (select all...

Health risks associated with obesity include (select all that apply) a. colorectal cancer. b. rheumatoid arthritis. c. polycystic ovary syndrome. d. nonalcoholic steatohepatitis. e. systemic lupus erythematosus. Correct answers: a, c, d Rationale: Health risks associated with obesity include cardiovascular disease (related to increased low-density lipoprotein levels, increased triglyceride levels, and decreased high-density lipoprotein levels), hypertension, sleep apnea, obesity hypoven...

3. When caring for a patient with a history of a total gastrectomy, the nurse will monitor for a. constipation. b. dehydration. c. elevated total serum cholesterol. d. cobalamin (vitamin B12) deficiency D. The patient with a total gastrectomy does not secrete intrinsic factor, which is needed for cobalamin (vitamin B12) absorption. Because the stomach absorbs only small amounts of water and nutrients, the patient is not at higher risk for dehydration, elevated cholesterol, or constipat...

A nurse is teaching a newly licensed nurse about receiving and transcribing verbal prescriptions. Which of the following instructions should the nurse include? Read back the prescription to the provider after transcribing Use symbols when transcribing a verbal prescription Include abbreviations when transcribing a verbal prescription Place a zero after a decimal when transcribing a dosage Read back the prescription to the provider after transcribing. The nurse should instruct the newly li...

A summary of DNA replication 1. Helicases unwind the parental double helix 2. Single-strand binding proteins stabilize the unwound parental DNA 3. The leading strand is synthesized continuously in the 5' --> 3' direction by DNA polymerase. 4. The lagging strand is synthesized discontinuously. Primase synthesizes a short RNA primer, which is extended by DNA polymerase to form an Okazaki fragment. 5. After the RNA primer is replaced by DNA (by another DNA polymerase), DNA ligase joins...

There is no defining line between professions! What are the 7 dimensions of the CREATION health model? Choice Rest Environment Activity Trust Interpersonal Relationships Outlook Nutrition When was protocol diversion use 1st reported? How long was that after its introduction to common use?

A mother and 7-month-old infant present to the pediatric clinic. The infant appears developmentally appropriate and healthy, but the mother tells you that she is exacerbated. She says yesterday her infant had been incessantly crying with vomiting and jelly-like stool. But now is fine. What is the nurse's first action? A) Determine the prenatal status of the mother and child B) Prepare the child for immediate surgery C) Palpate the stomach for a mass D) Administer barium enema Answer: C....

Which of the following assessment findings would the nurse most expect to find in the child who has been diagnosed with having hypertrophic pyloric stenosis? A) Currant jelly stools and a palpable, hard mass in the right upper quadrant B) Projectile vomiting and hunger soon afterwards C) Weight loss and bloody diarrhea D) Severe, cramp abdominal pain and lethargy Answer: B. Pyloric stenosis is where the pylorus becomes edematous and large blocking the entrance out of the stomach. Projecti...

- Hepatitis - Irritable Bowel Syndrome - Inflammatory Bowel Disease What is diarrhea? - Increase in # of stools (frequency) - Less consistency, more fluid, color can vary - Usually acute (sudden and duration less than 14 days) - Toxic reaction to pathogen + body ridding of pathogen - Most often viral - Chronic is greater than 14 days - More often chronic condition, food indiscretion, food sensitivity Diarrhea is often infectious, but may be r/t... - Dietary indiscretions (hyperosmola...