The nurse is planning an in-service for new RNs who will be ...

[nramada]

The nurse is planning an in-service for new RNs who will be working on a general pediatric unit. Which statements are appropriate to include when discussing normal acidbase balance?
 
  1. The lungs are responsible for excreting excess carbonic acid from body.
  2. The lungs reabsorb filtered bicarbonate.
  3. The kidneys form bicarbonate if needed to restore balance.
  4. The liver forms bicarbonate if needed to restore balance.
  5. The liver synthesizes proteins needed to maintain osmotic pressure in the fluid compartments.

Question 2

A nurse is assessing infants for visually related developmental milestones. Which infant is showing a delay in meeting an expected milestone?
 
  1. 4-month-old who has a social smile
  2. 8-month-old who has just begun to inspect her own hand
  3. 12-month-old who stacks blocks
  4. 7-month-old who picks up a raisin by raking

[mrphibs]

Answer to Question 1

Correct Answer: 1,3,5

Rationale: Statements that the nurse educator will include in the in-service include: the lungs are responsible for excreting excess carbonic acid from body; the kidneys form bicarbonate if needed to restore balance; and the liver synthesizes proteins needed to maintain osmotic pressure in the fluid compartments. The kidneys, not the lungs, reabsorb filtered bicarbonate. The kidneys, not the liver, form bicarbonate to restore balance, if needed.

Answer to Question 2

Correct Answer: 2
Rationale: An 8-month-old who has just begun to inspect her own hand is delayed. The infant usually inspects her own hand beginning at 3 months. A 4-month-old with a social smile, a 12-month-old who stacks blocks, and a 7-month-old who picks up a raisin by raking are all showing appropriate visually related milestones.

[nramada]

Thank you

[mrphibs]

No problemo