A client with suspected gastroenteritis reports watery diarrhea, abdominal cramping, and nausea. What other symptom should the client be advised to monitor?
Headache
Muscle weakness
Visual disturbances
Chest pain
The Correct Answer is A
A) Correct. Headache can be a symptom of dehydration, which is a common complication of gastroenteritis due to fluid loss through diarrhea and vomiting.
B) Incorrect. Muscle weakness is not a typical symptom of gastroenteritis.
C) Incorrect. Visual disturbances are not typically associated with gastroenteritis.
D) Incorrect. Chest pain is not a common symptom of gastroenteritis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. This advice encourages the client to monitor their temperature and take appropriate action if it rises significantly.
B) Incorrect. While a fever is expected with gastroenteritis, it can still be managed to improve the client's comfort.
C) Incorrect. Ibuprofen may not be the best choice for everyone, and it's important to specify a temperature threshold for intervention.
D) Incorrect. A fever of 100°F (37.8°C) is not a critical threshold that would necessitate an immediate visit to the emergency room.
Correct Answer is A
Explanation
A) Correct. Dry lips and a sunken fontanelle are signs of severe dehydration in an infant and require immediate attention.
B) Incorrect. While decreased urine output is a concern, it may not necessitate immediate reporting if it is only slightly decreased.
C) Incorrect. Mild irritability during feedings is a symptom of discomfort but may not necessitate immediate reporting.
D) Incorrect. Occasional vomiting after feeds is a common symptom of gastroenteritis and may not necessitate immediate reporting.
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