Author Question: A 1-month-old client is admitted to the emergency room with severe diarrhea. Which assessment ... (Read 103 times)

cherise1989 · **on:** Jun 28, 2018

A 1-month-old client is admitted to the emergency room with severe diarrhea. Which assessment suggests the client is severely dehydrated?

1. Skin moist and flushed; mucous membranes dry
2. Low specific gravity of urine; skin color pale
3. Fontanels depressed; capillary refill greater than three seconds
4. High specific gravity of urine; moist mucous membranes

Question 2

The school nurse is implementing a program to decrease bullying. Which interventions are appropriate for the school nurse to implement?

1. Train teachers about the behaviors
2. Ensure adult supervision in the hallways
3. Teach children to report behaviors
4. Ensure that immunizations are up-to-date
5. Set up anti-hazing policies

xiazhe · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Correct Answer: 3
Rationale: Two signs of severe dehydration are depressed fontanels and capillary refill time greater than three seconds. Moist, flushed skin; moist mucous membranes; and low specific gravity of urine are not signs of dehydration. Dry mucous membranes and pale skin color are signs of mild dehydration, not severe.

Answer to Question 2

Correct Answer: 1,2,3
Rationale: Appropriate interventions for the school nurse to implement when dealing with bullying in a school include training the teachers on the signs of bullying; ensuring adult supervision in the hallways, as this is where bullying tends to take place; and teach children to report bullying behaviors. Ensuring that immunizations are up to date is not an intervention aimed at decreasing bullying. Hazing and bullying are two separate problems.