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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. Gastroenteritis is most commonly caused by viral infections, such as norovirus or rotavirus.
B) Incorrect. While bacterial infections can cause gastroenteritis, they are not the sole cause.
C) Incorrect. Parasitic infections are less common causes of gastroenteritis compared to viral and bacterial infections.
D) Incorrect. Fungal infections are rare causes of gastroenteritis and are not considered primary pathogens.
Correct Answer is B
Explanation
A) Incorrect. While stress and anxiety can exacerbate symptoms of GERD, they are not the primary cause. The underlying cause of heartburn in GERD is the reflux of stomach acid into the esophagus.
B) Correct. Heartburn in GERD is caused by the backflow of stomach acid into the esophagus, leading to irritation and discomfort.
C) Incorrect. While spicy foods can trigger heartburn in some individuals, they are not the primary cause of GERD. The underlying issue is the reflux of stomach acid.
D) Incorrect. An overproduction of bile in the stomach is not a direct cause of GERD. The condition is primarily related to the reflux of stomach acid.
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