Answer to Question 1
B
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A Incorrect. The nurse does not offer the child with laryngotracheobronc hitis tiny medicine cups of fluid stickers and prizes for meeting goals related to intake of fluid to prevent diarrhea.
B Correct. For many children, the amount of fluid necessary to loosen secretions seems overwhelming. The nurse can assist the child to reach the desired goal by offering a medicine cup full of liquid and when charting the data on a tracking board in his or her room. The intervention can be introduced as a game with the child every trying to exceed the previous records. Stickers or other prizes may be awarded for new records.
C Incorrect. The nurse does not offer the child with laryngotracheobronc hitis tiny medicine cups of fluid stickers and prizes for meeting goals related to intake of fluid to maintain electrolyte balance.
D Incorrect. The nurse does not offer the child with laryngotracheobronc hitis tiny medicine cups of fluid stickers and prizes for meeting goals related to intake of fluid to keep kidneys functioning.
Answer to Question 2
A
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A Correct. The transitional stool of the newborn usually occurs by the 3rd day and is green brown-yellow brown.
B Incorrect. The transitional stool of the newborn usually occurs by the 3rd day and is not clay color.
C Incorrect. The transitional stool of the newborn usually occurs by the 3rd day and is not grayish.
D Incorrect. The transitional stool of the newborn usually occurs by the 3rd day and is not light yellow-light green.
The patient and his family meet with the nurse to discuss progress on the patient care plan.
The nurse needs to note the source of the patient health history
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