A nurse is caring for an infant who has gastroenteritis. Which of the following assessment findings should the nurse report to the provider?

Pale and a 24-hr fluid deficit of 30 mL

Decreased appetite and irritability

Temperature 38° C (100.4° F) and pulse rate 124/min

Sunken fontanels and dry mucous membranes

Answer and Explanation

The Correct Answer is D

A. Incorrect – A 24-hour fluid deficit of 30 mL is mild and does not require immediate intervention.
B. Incorrect – Decreased appetite and irritability are common with gastroenteritis but not as concerning as dehydration.
C. Incorrect – A temperature of 38°C (100.4°F) and pulse of 124/min are mild and expected with infection.
D. Correct – Sunken fontanels and dry mucous membranes are signs of dehydration, which is a major concern in gastroenteritis. Severe dehydration can lead to hypovolemic shock.

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Correct Answer is B

Explanation

A. A metallic taste is not a common adverse effect of sertraline.
B. Sertraline, a selective serotonin reuptake inhibitor (SSRI), commonly causes excessive sweating as an adverse effect.
C. A dry cough is more often related to ACE inhibitors than SSRIs.
D. Increased urinary frequency is not typically associated with sertraline.

A. “I can apply heat for the first 24 hours to minimize the pain in my hand." B. "I should not use my affected hand for 4 to 6 weeks." C. "I should expect numbness and tingling in my hand." D. "I will need to keep my hand elevated above my heart for several days."

Correct Answer is D

Explanation

A. Cold therapy, not heat, is recommended in the first 24–48 hours to reduce swelling.
B. The client is encouraged to use the affected hand for light activities, avoiding only heavy lifting or repetitive motions for 4–6 weeks.
C. Numbness and tingling should improve after surgery; persistent symptoms may indicate complications.
D. Elevating the hand helps reduce swelling and improves circulation, promoting healing.

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A nurse is caring for an infant who has gastroenteritis. Which of the following assessment findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client about the adverse effects of sertraline. Which of the following adverse effects should the nurse include

Correct Answer is B

Explanation

A nurse is providing discharge teaching to a client who is postoperative following surgery for carpal tunnel syndrome. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

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