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Author Question: The student nurse is observing the nurse complete an assessment of a newborn in the nursery. The ... (Read 71 times)

big1devin

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The student nurse is observing the nurse complete an assessment of a newborn in the nursery. The nurse asks the student nurse, what is the expected shape of the anterior fontanel in newborn babies?
 
  A) Flat
  B) Diamond
  C) Cube
  D) Triangular

Question 2

A client has had severe diarrhea for 4 days and a nursing diagnosis of fluid volume deficit related to active fluid loss has been identified for the client. Based on this information, which expected outcome is the most complete?
 
  A) Client will drink more fluids by tonight.
  B) Client will have good skin turgor.
  C) Client will have moist mucous membranes.
  D) Client will have an intake of 2,500 mL for a period of 24 hours.



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whitcassie

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Answer to Question 1

B
Feedback:
The anterior fontanel is diamond-shaped, whereas the posterior fontanel is triangular. Short bones are relatively cube-shaped. The anterior fontanel is not a flat bone.

Answer to Question 2

D
Feedback:
The expected outcome must be client oriented, specific, reasonable, and measurable. Client will drink more fluids is not measurable. Client will have good skin turgor needs to be more specific and all options must have a time frame for evaluating the expected outcome performance.





 

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