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A nurse is assessing an infant who has severe dehydration due to gastroenteritis.
Which of the following findings should the nurse expect?

Hypertension.

Increased urine output.

Capillary refill of 2 seconds.

Increased respiratory rate.

Answer and Explanation

The Correct Answer is D

An increased respiratory rate is a sign of severe dehydration in infants.

Dehydration occurs when an infant loses so much body fluid that they are not able to maintain ordinary function.

Choice A is wrong because hypertension is not a sign of severe dehydration in infants.

Choice B is wrong because increased urine output is not a sign of severe dehydration in infants.

In fact, decreased urine output is a sign of dehydration 2.

Choice C is wrong because a capillary refill of 2 seconds is normal and not a sign of severe dehydration in infants.

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Correct Answer is A

Explanation

A 24-gauge catheter is the smallest-gauge catheter and is appropriate for administering IV fluids and medications to an infant.

Choice B is wrong because an opaque dressing would prevent the nurse from visualizing the insertion site.

Choice C is wrong because starting an IV in an infant’s foot can be painful and difficult to secure.

Choice D is wrong because IV sites should be changed every 72-96 hours or according to facility policy.

A. Apply cold compresses to painful areas. B. Encourage physical activity as tolerated. C. Have the child wear a surgical mask to school. D. Limit fluids at bedtime.

Correct Answer is B

Explanation

Encourage physical activity as tolerated.

Children with sickle cell disease may need occasional rests from classroom activities but should be encouraged to participate in physical activity as tolerated.

Choice A is wrong because cold compresses are not recommended for pain management in sickle cell disease.

Choice C is wrong because there is no need for a child with sickle cell disease to wear a surgical mask to school.

Choice D is wrong because it is important for children with sickle cell disease to drink water throughout the day to avoid dehydration 1.

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A nurse is assessing an infant who has severe dehydration due to gastroenteritis. Which of the following findings should the nurse expect?

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A nurse is assessing an infant who has severe dehydration due to gastroenteritis.
Which of the following findings should the nurse expect?