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 B
Explanation
A. While genetic factors can contribute to various kidney disorders, they are not specifically linked to acute glomerulonephritis.
B. Acute glomerulonephritis often follows a recent streptococcal infection, particularly strep throat or impetigo.
C. High blood pressure may result from acute glomerulonephritis but is not typically considered a risk factor.
D. Excessive fluid consumption is not a known risk factor for acute glomerulonephritis.
Correct Answer is B
Explanation
A. Administering pain medication is important but not the priority compared to assessing for signs of infection post-surgery.
B. Assessing the surgical site for signs of infection is crucial in preventing complications and ensuring proper healing post-surgery.
C. Educating the parents about proper wound care is essential but may not be the priority compared to assessing for signs of infection.
D. Providing age-appropriate toys for play is important for the infant's comfort and development but is not the priority compared to assessing for signs of infection.
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