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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 A

Explanation

A) Correct. Dehydration is a significant concern in elderly individuals with gastroenteritis due to their reduced reserve and increased vulnerability to fluid and electrolyte imbalances.

B) Incorrect. Hyperactivity is not a typical complication of gastroenteritis, especially in the elderly population.

C) Incorrect. Hypothermia is not a typical complication of gastroenteritis, especially in the absence of other underlying conditions.

D) Incorrect. Hypertension is not a typical complication of gastroenteritis.

Correct Answer is B

Explanation

A) Incorrect. While antidiarrheal medications can provide relief, they should be used with caution as they can potentially prolong the infection by preventing the body from expelling the infectious agent.

B) Correct. It's generally recommended to avoid using antidiarrheal medications in cases of infectious gastroenteritis, as they can impede the body's natural defense mechanism of expelling the infectious agent through diarrhea.

C) Incorrect. Antidiarrheal medications may be prescribed by a healthcare provider in specific cases, but they are not recommended as a first-line treatment for infectious gastroenteritis.

D) Incorrect. Antidiarrheal medications can be used in both children and adults, but they should be used with caution and under the guidance of a healthcare provider.

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