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 C
Explanation
A. A slow, bounding pulse is not typically associated with dehydration; tachycardia is more common.
B. Tetany is not typically seen in dehydration but can occur in severe cases of electrolyte imbalance.
C. Irritability is a common behavioral sign of dehydration, especially in infants.
D. Decreased temperature is not a typical finding in dehydration; fever may be present due to underlying illness causing the dehydration.
Correct Answer is A
Explanation
A. Intussusception typically presents with a palpable, sausage-shaped mass in the abdomen and stools mixed with blood and mucus.
B. Tracheoesophageal fistula presents with respiratory distress and may involve aspiration, but it does not typically present with abdominal mass or bloody stools.
C. Hypertrophic pyloric stenosis presents with projectile vomiting and may cause dehydration but does not typically present with bloody stools.
D. Inguinal hernia presents with a bulge in the groin area but is not typically associated with bloody stools or abdominal mass.
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