A nurse is collecting data from a 3-year-old child who has acute diarrhea and dehydration. Which of the following findings indicates that oral rehydration therapy has been effective?
Respiratory rate 24/min>
Urine specific gravity 1.015
Heart rate 130/min
Capillary refill greater than 3 seconds
The Correct Answer is B
A. Respiratory rate 24/min: While a normal respiratory rate is positive, it is not a primary marker of hydration status.
B. Urine specific gravity 1.015: A normal urine specific gravity indicates adequate hydration.
C. Heart rate 130/min: Tachycardia indicates ongoing dehydration or stress.
D. Capillary refill greater than 3 seconds: Prolonged capillary refill suggests inadequate perfusion and continued dehydration.
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Related Questions
Correct Answer is D
Explanation
A. Golf ball-size mass over the left quadrant: The mass associated with pyloric stenosis is in the right upper quadrant, not the left.
B. Increased sodium level: Electrolyte imbalances in pyloric stenosis typically involve hypochloremia and metabolic alkalosis, not increased sodium.
C. Absent bowel sounds: Bowel sounds are usually present unless there is severe dehydration or ileus.
D. Projectile vomiting after feedings: Projectile vomiting is a classic symptom of pyloric stenosis due to obstruction.
Correct Answer is D
Explanation
A. 15 mL: 15 mL is far too high for the volume corresponding to 1 gram of diaper weight.
B. 30 mL: 30 mL is too large of a conversion for 1 gram of diaper weight.
C. 5 mL: 5 mL is too large for the standard conversion of 1 gram of diaper weight to urine volume.
D. 1ml:Because urine has a density very close to water, 1 gram of wet diaper weight is considered equivalent to 1 milliliter of urine output. This conversion allows accurate measurement of infant urine output when direct collection in a calibrated container isn’t feasible.
Because urine has a density very close to water, 1 gram of wet diaper weight is considered equivalent to 1 milliliter of urine output. This conversion allows accurate measurement of infant urine output when direct collection in a calibrated container isn’t feasible.
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