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A nurse is caring for a school-age child with diarrhea. The nurse suspects dehydration after assessing which of the following findings?

A.

Increased urine output

B.

Normal skin turgor

C.

Dry mucous membranes

D.

Bradypnea

Answer and Explanation

The Correct Answer is C

A.    Increased urine output is not typically indicative of dehydration; rather, decreased urine output may suggest dehydration.
 
B.    Normal skin turgor is not indicative of dehydration; decreased skin turgor is a more reliable indicator.
C.    Dry mucous membranes, such as dry mouth or cracked lips, are common signs of dehydration.
D.    Bradypnea, or slow breathing, is not typically associated with dehydration; tachypnea may occur in some cases of dehydration.
 


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Related Questions

Correct Answer is C

Explanation

A. Administering opioids for pain may be necessary, but they should be given cautiously due to the risk of respiratory depression and should be prescribed by the healthcare provider.
B. Applying bilateral wrist restraints is not typically indicated post-cleft palate repair and may restrict the child unnecessarily.
C. Implementing a soft diet is appropriate post-cleft palate repair to minimize trauma to the surgical site and promote healing.
D. Offering fluids through a straw may increase the risk of negative pressure in the oral cavity and disrupt the surgical repair; fluids should be offered using appropriate methods recommended by the healthcare provider.

Correct Answer is C

Explanation

A. Red currant jelly stools are associated with intussusception, not pyloric stenosis.

B. Distended neck veins are not typically seen in pyloric stenosis.

C. Projectile vomiting, especially after feeding, is a classic sign of pyloric stenosis.

D. A ridged abdomen is not a typical finding in pyloric stenosis.

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