The nurse weighs Jose and his current weight is 6.6 kg (14 pounds, 8 ounces). Jose weighed 4139 g (9 pounds, 2 ounces) at birth. His length today is 64 cm (25.2 inches) and at birth was 51 cm (20 inches). Jose’s skin is slightly paler than expected for his genetic background, but warm. His anterior fontanel is soft and flat, oral mucosa is dry, general skin turgor is loose, and fingers and toes are cool. Capillary refill is three seconds. S1 and S2 heart sounds are auscultated. Lung sounds are clear. Vital signs: Temperature (axillary), 37.5° C (99.5° F); heart rate, 150/min; respirations, 40/min; and oxygen saturations, 95% on room air. Jose opens eyes spontaneously and makes eye contact with the nurse. He does not reach for a toy that is offered and appears to lack energy, though he does move all extremities equally. The parents state that, in the last week, Jose has had about four to five wet diapers a day and two to three bowel movements each day. Which of the following concerns should the nurse address while providing client care? (Select all that apply.) Health Promotion: Growth and Development ■ Health Promotion: Client Education Physiological: Elimination Physiological: Fluid and Electrolyte Physiological: AciD
[Answered]: The nurse weighs Jose and his current weight is…
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