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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.


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Related Questions

Correct Answer is B

Explanation

A) Incorrect. Untreated GERD is not directly associated with the development of gallstones.

B) Correct. Untreated GERD can lead to complications such as esophagitis (inflammation of the esophagus), ulcers in the esophagus, and strictures (narrowing of the esophagus). These complications can significantly impact a client's health.

C) Incorrect. Untreated GERD does not lead to the formation of kidney stones.

D) Incorrect. Untreated GERD is not directly associated with the development of high blood pressure.

Correct Answer is A

Explanation

A) Correct. Many bacteria that cause gastroenteritis release toxins that directly damage the gastrointestinal lining.

B) Incorrect. While invasion of cells can occur with certain bacteria, it is not the primary mechanism of action for all bacterial gastroenteritis.

C) Incorrect. While inflammation is a common response to bacterial infection, it may not be the primary mechanism of all cases of bacterial gastroenteritis.

D) Incorrect. Disruption of normal gut flora is more commonly associated with certain types of antibiotics rather than the direct mechanism of bacteria causing gastroenteritis.

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