A nurse is caring for an infant who has rotavirus.
Which of the following findings indicates that the infant is moderately dehydrated?

Respiratory rate 28/min.

Capillary refill 1 second.

Weight loss 7%.

Bradycardia.

Answer and Explanation

The Correct Answer is C

A weight loss of 7% indicates that the infant is moderately dehydrated.

Dehydration is classified as mild (3-5% weight loss), moderate (6-10% weight loss), or severe (>10% weight loss)1.

Choice A is wrong because a respiratory rate of 28/min is within the normal range for an infant.

Choice B is wrong because a capillary refill time of 1 second is within the normal range.

Choice D is wrong because bradycardia (a slow heart rate) is not a typical sign of moderate dehydration in infants.

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Correct Answer is A

Explanation

The first action the nurse should take is to elevate the child’s leg.

This is choice A. Elevating the child’s leg can help reduce swelling and improve circulation.
After elevating the child’s leg, the nurse can then administer pain medication (choice B), petal the edges of the cast (choice C), and teach the child about cast care (choice D).

A. Request verbal consent from the client. B. Contact the client's parents to obtain phone consent. C. Postpone the testing until the client's parents are present. D. Obtain written consent from the client.

Correct Answer is A

Explanation

The nurse should request verbal consent from the client for STI testing.

All 50 states and the District of Columbia explicitly allow minors to consent for their own STI services.

Choice B is wrong because it is not necessary to contact the client’s parents to obtain phone consent.

Choice C is wrong because it is not necessary to postpone the testing until the client’s parents are present.

Choice D is wrong because written consent is not required for STI testing.

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A nurse is caring for an infant who has rotavirus. Which of the following findings indicates that the infant is moderately dehydrated?

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A nurse is caring for an infant who has rotavirus.
Which of the following findings indicates that the infant is moderately dehydrated?