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.
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Related Questions
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.
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.
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