A clinic nurse is caring for a 4-year-old client with acute diarrhea and mild dehydration who is afebrile, active, and alert. The nurse is providing instructions to the parent. Which statement by the parent indicates understanding?

"We can anticipate needing intravenous fluids to correct the dehydration."

"I will continue to give oral rehydration in small amounts."

"Chicken broth will replace the needed electrolytes lost."

"If my child's soft spot becomes depressed, I will notify the healthcare provider immediately."

Answer and Explanation

The Correct Answer is B

A. Intravenous fluids are generally not required if the child is alert and active with mild dehydration; oral rehydration is usually sufficient.

B. Oral rehydration solutions are appropriate for treating mild dehydration and should be given in small amounts frequently.

C. Chicken broth is not ideal for replacing electrolytes because it is low in electrolytes and high in sodium. Oral rehydration solutions are preferred.

D. A depressed soft spot (fontanel) is a sign of severe dehydration in infants. For a 4-year-old, signs of dehydration would include changes in urine output, thirst, or dry mucous membranes rather than a depressed fontanel.

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Correct Answer is C

Explanation

A. Reduced intellectual processing is not typically associated with hyperthyroidism; it is more commonly associated with hypothyroidism.

B. Slow, lethargic movements are more indicative of hypothyroidism rather than hyperthyroidism.

C. Recent weight loss is a common symptom of hyperthyroidism due to increased metabolic rate and appetite changes.

D. A swollen, protuberant abdomen is not a typical symptom of hyperthyroidism. It is more associated with other conditions such as hypothyroidism or gastrointestinal issues.

A. Increasing fluid intake B. Inserting an indwelling catheter C. Maintaining prone positioning D. Preventing skin breakdown

Correct Answer is D

Explanation

A. Increasing fluid intake is important for overall health but is not the primary concern in the initial management of bladder exstrophy.

B. Inserting a catheter may be necessary but is not the first priority in managing bladder exstrophy.

C. Prone positioning is generally not recommended for infants with bladder exstrophy; supine positioning may be preferable to prevent pressure on the exposed bladder.

D. Preventing skin breakdown is critical due to the constant exposure of the bladder and surrounding skin to urine, leading to a high risk of irritation and infection.

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A clinic nurse is caring for a 4-year-old client with acute diarrhea and mild dehydration who is afebrile, active, and alert. The nurse is providing instructions to the parent. Which statement by the parent indicates understanding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse should instruct the family of a pediatric client with newly diagnosed hyperthyroidism to expect which of the following symptoms?

Correct Answer is C

Explanation

An infant is admitted to the unit with a diagnosis of bladder exstrophy. What should the nurse prioritize when caring for a client with this condition?

Correct Answer is D

Explanation

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