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 {"xRanges":[140.765625,170.765625],"yRanges":[113.609375,143.609375]}
Explanation
The correct answer is choice B. The patent ductus arteriosus (PDA) is a vascular structure that connects the proximal descending aorta to the roof of the main pulmonary artery near the origin of the left branch pulmonary artery.
This essential fetal structure normally closes spontaneously after birth. After the first few weeks of life, persistence of ductal patency is abnormal.
Correct Answer is A
Explanation
Varicella (chickenpox) is highly contagious and can be spread through the air by coughing or sneezing.
Airborne precautions help prevent the spread of the disease to others.
Choice B is wrong because Koplik spots are a symptom of measles, not varicella.
Choice C is wrong because providing a warm blanket is not a specific intervention for a child with varicella.
Choice D is wrong because aspirin should not be given to children with varicella due to the risk of Reye’s syndrome.
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