Author Question: The nurse is assessing the 1-month-old infant's fontanels and notes they are sunken. Based on this ... (Read 79 times)

littleanan · **on:** Jun 25, 2018

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.

Question 2

During a focused interview of a client, the nurse learns about an open lesion on the client's head that has not healed in several months. Which conclusion is appropriate for the nurse to make based on this data?

1. The client may have a thyroid disease.
2. The client may have a malignancy.
3. The client may be pregnant.
4. The client may have meningitis.

ApricotDream · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

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.

Answer to Question 2

Correct Answer: 2
Wounds or lesions that do not heal, swellings, or masses should be assessed because this finding may indicate the client has a malignancy. This finding doesn't necessarily indicate the client has a thyroid problem. Pregnancy does not make the body less likely to heal. This particular client does not exhibit symptoms of meningitis such as complaints of a stiff neck and headache.