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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Related Questions
Correct Answer is C
Explanation
A) Incorrect. Viral gastroenteritis primarily affects the small intestine, not the large intestine.
B) Incorrect. Viral gastroenteritis is caused by viruses, not bacterial toxins.
C) Correct. Viral gastroenteritis leads to inflammation of the stomach and small intestine linings.
D) Incorrect. Blood in the stool is not a typical symptom of viral gastroenteritis; it is more commonly seen in certain bacterial infections.
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.
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