A nurse is assessing an infant with suspected gastroenteritis. Which assessment finding should be reported immediately?
Dry lips and sunken fontanelle
Slightly decreased urine output
Mild irritability during feedings
Occasional vomiting after feeds
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
- A: Drinking plenty of fluids is essential for staying hydrated, especially when experiencing gastroenteritis, which can lead to significant fluid loss due to vomiting and diarrhea.
- B: Spicy foods can irritate the digestive system and exacerbate symptoms of gastroenteritis. They should be avoided until full recovery to prevent further irritation.
- C: Dairy products can be difficult to digest during episodes of gastroenteritis and avoiding them can help minimize symptoms such as diarrhea and stomach upset.
- D: Bland, easily digestible foods are recommended during recovery from gastroenteritis as they are gentle on the stomach and can help in gradually restoring normal digestion.
Correct Answer is C
Explanation
A) Incorrect. While exercise is important for overall health, strenuous exercise immediately after meals may exacerbate symptoms of GERD.
B) Incorrect. Lying down immediately after meals can lead to increased reflux and heartburn. It is advisable to remain upright for a period after eating.
C) Correct. Eating smaller, more frequent meals can help prevent excessive stomach distention, reducing the likelihood of acid reflux and heartburn.
D) Incorrect. High-fat meals can lead to delayed gastric emptying, potentially worsening symptoms of GERD. It is recommended to consume lower-fat meals.
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