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
Continuous swallowing can be an indication of hemorrhage following a tonsillectomy and adenoidectomy.
This is because the child may be swallowing blood that is coming from the surgical site.
Choice A is wrong because a blood pressure of 95/56 mm Hg is within the normal range for a 5-year-old child.
Choice B is wrong because a heart rate of 54/min is within the normal range for a 5-year-old child.
Choice D is wrong because flushing of the face is not an indication of hemorrhage following a tonsillectomy and adenoidectomy.
Correct Answer is D
Explanation
Steatorrhea, or fatty stools, is a common symptom of cystic fibrosis.
Cystic fibrosis can cause the pancreas to become blocked with mucus, preventing digestive enzymes from reaching the small intestine.
This can result in difficulty absorbing nutrients from food and can lead to steatorrhea.
Choice A is wrong because rhinorrhea is not a common symptom of cystic fibrosis.
Choice B is wrong because weight gain is not a common symptom of cystic fibrosis; in fact, difficulty gaining weight is a common symptom.
Choice C is wrong because visible peristalsis is not a common symptom of cystic fibrosis.
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