A nurse in an acute care facility is caring for a toddler.

For each assessment finding below, click to specify if the assessment finding is consistent with Crohn’s disease, appendicitis, or intussusception. Each finding may support more than 1 disease process.

A. Food stamps: Supplemental Nutrition Assistance Program (SNAP), commonly called food stamps, provides financial assistance for purchasing nutritious food. For a client below the poverty level, this resource helps ensure adequate nutrition, which is essential for recovery during home IV therapy.

B. Medicaid: Medicaid offers health coverage for low-income individuals, including coverage for home health services and necessary medical equipment. Enrolling the client in Medicaid can facilitate access to home IV therapy and reduce out-of-pocket expenses.

C. Respite care: Respite care provides temporary relief to caregivers but is not directly relevant to a young adult client managing home IV therapy independently. While useful in certain situations, it is not a primary resource for financial or medical support in this case.

D. Medicare Part A: Medicare primarily covers hospital and skilled nursing facility care for adults over 65 or with certain disabilities. A young adult below the poverty level is unlikely to qualify, making this an inappropriate recommendation for home IV therapy coverage.

E. Adult day care: Adult day care services are designed for older adults requiring supervision or social interaction. This service is not applicable for a young adult client requiring home IV therapy and does not address financial or medical support needs.

A. Oliguria: Vomiting, diarrhea, and decreased oral intake in an infant can lead to significant fluid loss and dehydration. Oliguria, or reduced urine output, is an early and sensitive indicator of decreased circulating volume and renal perfusion in pediatric clients.

B. Bulging anterior fontanel: A bulging fontanel is typically associated with increased intracranial pressure, such as in meningitis or hydrocephalus, rather than dehydration. In fact, dehydration may cause a sunken rather than bulging fontanel.

C. Hypertension: Dehydration usually leads to hypotension due to decreased intravascular volume. Elevated blood pressure is not a common manifestation in infants with fluid losses from vomiting and diarrhea.

D. Decreased temperature: Hypothermia is uncommon in mild to moderate dehydration. Fever may occur with infectious causes of vomiting and diarrhea, but a decreased temperature is not an expected manifestation of dehydration in infants.