A nurse is caring for a client with suspected viral gastroenteritis. What assessment finding should the nurse prioritize?

Skin turgor and mucous membranes

Blood pressure and heart rate

Urinary output and specific gravity

Respiratory rate and lung sounds

Answer and Explanation

The Correct Answer is A

A) Correct. Skin turgor and mucous membranes are important indicators of hydration status, which is a critical concern in clients with gastroenteritis.

B) Incorrect. While blood pressure and heart rate are important vital signs, they may not provide immediate information about the client's hydration status.

C) Incorrect. Urinary output and specific gravity are important indicators of renal function, but they may not provide immediate information about the client's hydration status.

D) Incorrect. Respiratory rate and lung sounds are important assessments, but they may not provide immediate information about the client's hydration status.

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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.

A. Administering an antibiotic as prescribed by the healthcare provider. B. Encouraging the client to drink plenty of clear fluids and oral rehydration solutions. C. Allowing the client to eat a regular diet to maintain energy levels. D. Advising the client to rest and avoid any physical activity.

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.

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A nurse is caring for a client with suspected viral gastroenteritis. What assessment finding should the nurse prioritize?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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