A nurse is caring for a toddler who has been vomiting for the past 8 hr. Which of the following findings indicates to the nurse that the child is dehydrated?
Increased blood pressure
Distended jugular veins
Flat anterior fontanel
Increased pulse
The Correct Answer is D
A. Increased blood pressure is typically not associated with dehydration. In fact, dehydration often causes hypotension or low blood pressure, especially in severe cases.
B. Distended jugular veins are usually a sign of fluid overload or heart failure, not dehydration. In dehydration, the veins may appear flat due to decreased fluid volume.
C. A flat anterior fontanel is generally expected in a well-hydrated child. A sunken fontanel would indicate dehydration in infants and young toddlers.
D. Increased pulse (tachycardia) is a common sign of dehydration. As the body loses fluid, the heart compensates by increasing the heart rate to maintain adequate perfusion of organs.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Hypersomnia is not typically associated with Cushing's syndrome. Instead, individuals with Cushing's syndrome often experience insomnia or sleep disturbances.
B. Hypotension is not a common finding in Cushing's syndrome. The condition typically leads to hypertension due to increased cortisol levels, which raise blood pressure.
C. Rapid weight loss is not characteristic of Cushing's syndrome. In fact, Cushing's syndrome typically causes rapid weight gain, especially in the trunk and face.
D. Rounded facial features, also known as a "moon face," are a hallmark sign of Cushing's syndrome, caused by an increase in cortisol and fat deposition in the face.
Correct Answer is "{\"xRanges\":[89.828125,109.828125],\"yRanges\":[84,104]}"
Explanation
A. The nurse should expect the rash to appear first on the child's cheeks. Erythema infectiosum, also known as fifth disease, typically begins with a bright red rash on the cheeks, giving the appearance of "slapped cheeks"
B. This is often followed by a lacy, red rash that can spread to the arms, legs, and trunk
C. This is often followed by a lacy, red rash that can spread to the arms, legs, and trunk
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