Try Naxlex NCLEX-RN (Free-Trial)

A nurse is assessing an infant with suspected gastroenteritis. Which assessment finding should be reported immediately?

A.

Dry lips and sunken fontanelle

B.

Slightly decreased urine output

C.

Mild irritability during feedings

D.

Occasional vomiting after feeds

Answer and Explanation

The Correct Answer is A

A) Correct. Dry lips and a sunken fontanelle are signs of severe dehydration in an infant and require immediate attention.

B) Incorrect. While decreased urine output is a concern, it may not necessitate immediate reporting if it is only slightly decreased.

C) Incorrect. Mild irritability during feedings is a symptom of discomfort but may not necessitate immediate reporting.

D) Incorrect. Occasional vomiting after feeds is a common symptom of gastroenteritis and may not necessitate immediate reporting.


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is D

Explanation

A) Incorrect. Avoiding hand hygiene is not an effective way to prevent gastroenteritis; in fact, it increases the risk of infection.

B) Incorrect. Sharing personal items can increase the risk of spreading gastroenteritis, as the virus or bacteria can be easily transmitted through shared items.

C) Incorrect. While alcohol-based hand sanitizers can be used in the absence of soap and water, they are not as effective as proper handwashing.

D) Correct. Proper hand hygiene, especially after using the restroom, is crucial in preventing the spread of gastroenteritis, as it reduces the risk of contaminating hands with potentially infectious agents.

Correct Answer is D

Explanation

A) Incorrect. Limiting hand hygiene is not a recommended practice; in fact, it increases the risk of infection.

B) Incorrect. While vaccinations are important for overall health, there is no specific vaccine for all types of gastroenteritis.

C) Incorrect. Encouraging children to share personal items can increase the risk of spreading gastroenteritis.

D) Correct. Practicing good hand hygiene and proper food handling are essential measures to prevent the spread of gastroenteritis, especially in young children who may be more susceptible to infections.

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Register