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.
Increased respiratory rate.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Sugar-free cherry gelatin is a soft and cooling food that can make the child more comfortable during recovery and help them heal faster.
Choice Ais wrong because dairy products like chocolate milk can increase mucus production and make stomach upset worse.
Choice Bis wrong because dairy products like vanilla ice cream can increase mucus production and make stomach upset worse.
Choice D is wrong because acidic foods like lime-flavored ice pops may cause discomfort.
Correct Answer is B
Explanation
“What do you do when your infant is fussy?” This question allows the parent to discuss their coping mechanisms and gives the nurse an opportunity to provide guidance and support.
Choice A is not a therapeutic question because it suggests a course of action rather than exploring the parent’s feelings and experiences.
Choice C and D are not therapeutic questions because they are closed-ended and do not encourage the parent to discuss their coping mechanisms.
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