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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) Incorrect. Mild abdominal cramping and bloating are common symptoms of gastroenteritis and may not require immediate intervention.
B) Incorrect. While absence of bowel movements for 24 hours is concerning, it may not be an immediate emergency compared to other options.
C) Correct. The presence of blood in stool or dark, tarry stools indicates potential gastrointestinal bleeding, which requires immediate attention.
D) Incorrect. Nausea and occasional vomiting are common symptoms of gastroenteritis and may not be an immediate concern.
Correct Answer is B
Explanation
A) Incorrect. Being symptom-free for only 24 hours may not be sufficient to ensure full recovery from gastroenteritis.
B) Correct. It is important to wait until all symptoms, including diarrhea, vomiting, and abdominal pain, have completely resolved before returning to work to prevent the spread of infection.
C) Incorrect. Returning to work when only feeling slightly better may risk spreading the infection to others.
D) Incorrect. 48 hours of symptom improvement may not be sufficient to ensure full recovery from gastroenteritis. It is important to wait until all symptoms have completely resolved.
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