A nurse is providing care to a newborn. The nurse suspects that the newborn is developing sepsis based on which assessment finding?

temperature instability

increased urinary output

wakefulness

interest in feeding

Answer and Explanation

The Correct Answer is A

A.   Correct. Temperature instability, including fever or hypothermia, can be a sign of sepsis in newborns, as it reflects the body's response to infection.
B.   Increased urinary output is not typically associated with sepsis in newborns and may have other causes, such as adequate fluid intake or renal function.
C.   Wakefulness is a normal behavior in newborns and is not specific to sepsis.
D.   Interest in feeding is a positive sign and indicates the newborn's responsiveness to hunger cues, but it is not specific to sepsis.

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Correct Answer is A

Explanation

A. Bladder capacity varies with age and gender. The formula for bladder capacity, is (age + 2) x 30 ml. For a 9-year-old girl, the bladder capacity is (9 + 2) x 30 ml = 330 ml approximately 12 ounces.
B. This is a lower capacity than the estimated one for a 9-year-old girl.
C. This is a lower capacity than the estimated one for a 9-year-old girl.
D. This is a lower capacity than the estimated one for a 9-year-old girl.

A. Adolescents can understand the concepts of right and wrong and are developing a conscience. B. Adolescents will base their actions on the avoidance of punishment and the attainment of pleasure. C. Adolescents develop their own set of morals and values and question the status quo. D. Adolescents undergo the process of developing their own set of morals at different rates. E. Adolescents are able to understand and incorporate into their behavior the concept of the "golden rule." F. Adolescents are more interested in the spiritualism of their religion than in the actual practices of their religion.

Correct Answer is ["A","C","D","E"]

Explanation

A. Adolescents typically develop a deeper understanding of morality and develop their conscience during this stage.
B. While adolescents may seek pleasure and avoid punishment, this is not necessarily a moral milestone but rather a characteristic of behavior influenced by developmental stages.
C. Adolescents start to question established norms and develop their own set of morals and values.
D. Adolescents undergo the process of developing their own set of morals at different rates, which reflects individual differences and influences from peers, family, and society.
E. Understanding and incorporating the "golden rule" (treating others as you would like to be treated) is a significant moral milestone for adolescents.
F. While some adolescents may become more interested in the spiritual aspects of their religion, this is not universally true for all adolescents and therefore not a specific milestone.

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A nurse is providing care to a newborn. The nurse suspects that the newborn is developing sepsis based on which assessment finding?

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Naxlex Comprehensive Predictor Exams

The nurse is using the formula for bladder capacity to measure the bladder capacity of a 9-year-old girl what number would the nurse document measurement?

Correct Answer is A

Explanation

The nurse assesses the spirituality of an adolescent. What are normal moral and spiritual milestones in this age group? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

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