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 A
Explanation
A) Correct. Severe bacterial gastroenteritis may require treatment with antibiotics to target the specific bacterial infection.
B) Incorrect. While fluid replacement is important, administering the appropriate antibiotic is the priority for severe bacterial gastroenteritis.
C) Incorrect. In severe cases, a clear liquid diet may be recommended initially to allow the digestive system to rest and recover.
D) Incorrect. While rest is important, administering the appropriate antibiotic is crucial in cases of severe bacterial gastroenteritis.
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.
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