A nurse is caring for a school-age child with diarrhea. The nurse suspects dehydration after assessing which of the following findings?
Increased urine output
Normal skin turgor
Dry mucous membranes
Bradypnea
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Understanding that the ostomy is temporary indicates an understanding of the surgical procedure and the need for subsequent surgeries for definitive treatment.
B. It's important for the parent to understand potential complications associated with the surgery and the condition.
C. Normal bowel movements may not be immediately achievable after surgery for Hirschsprung disease and may require further intervention.
D. Follow-up visits are essential for monitoring the child's progress and ensuring proper healing and management of the condition post-surgery.
Correct Answer is C
Explanation
A. A flaccid abdomen might be present but is not specific for a ruptured appendix.
B. A low-grade fever may be present in both uncomplicated and perforated appendicitis.
C. A sudden decrease in abdominal pain after a period of worsening pain can indicate a ruptured appendix, which is life-threatening.
D. Absent Rovsing's sign (pain in the right lower quadrant when pressure is applied to the left lower quadrant) is not indicative of perforation but rather a sign of localized tenderness.
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