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. Side-lying position during sleep may exacerbate gastroesophageal reflux in infants.
B. Keeping the baby in an upright position after feedings can help prevent reflux by allowing gravity to keep stomach contents down.
C. Breastfeeding is generally preferred for infants with gastroesophageal reflux because breast milk is more easily digested.
D. Thickening formula with oatmeal may be recommended in some cases but is not the primary intervention for managing gastroesophageal reflux.
Correct Answer is D
Explanation
A. Maintaining a saline-lock may be necessary but is not the priority action in acute glomerulonephritis.
B. Dietary adjustments may be needed, but the priority is to monitor the child's fluid balance and renal function.
C. Educating the parents about potential complications is important but not the priority action at this time.
D. Checking the child's daily weight is crucial in monitoring fluid status and renal function in children with acute glomerulonephritis.
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