A nurse is collecting data from a newborn who is receiving phototherapy. Which of the following findings is an indication of dehydration?
Bulging anterior fontanel
Decreased urine specific gravity
Bounding pulses
Decreased skin turgor
The Correct Answer is D
A. A bulging anterior fontanel suggests increased intracranial pressure, not dehydration.
B. Decreased urine specific gravity can occur with hydration or dilute urine, and it is not specific to dehydration.
C. Bounding pulses may be present in various conditions but are not a direct sign of dehydration.
D. Decreased skin turgor is a classic sign of dehydration in both infants and adults. It indicates a deficit of body fluids.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Applying petroleum jelly to the suppository is not necessary and may interfere with its effectiveness.
B. The suppository should be inserted along the posterior vaginal wall to ensure proper placement.
C. Inserting the suppository 5 cm (2 in) is not necessary and may result in incorrect placement.
D. There is no need for the client to be in a prone position for this procedure.
Correct Answer is B
Explanation
A. Incorrect. While using a disposable razor is a precaution for individuals taking anticoagulants to reduce the risk of bleeding, it is not specific to warfarin.
B. Correct. Taking oral contraceptives along with warfarin can increase the risk of bleeding.
Therefore, the client should be advised not to take oral contraceptives while on warfarin.
C. Incorrect. Aspirin is not typically recommended for pain relief in individuals taking warfarin due to the increased risk of bleeding.
D. Incorrect. The duration of warfarin therapy is individualized based on the specific condition being treated. It is not a fixed 2-week period.
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