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

Answer and Explanation

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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Correct Answer is D

Explanation

A. Counting the number of wet diapers every shift: While useful, daily weight provides a more precise measure of fluid balance.
B. Taking the infant's vital signs every 2 hr: Vital signs alone do not provide as direct a measure of fluid balance as daily weight.
C. Measuring the infant's head circumference twice per day: Head circumference is unrelated to hydration status.
D. Weighing the infant at the same time every day: Daily weight is the most accurate indicator of fluid status in infants.

A. Low-protein, low-potassium diet B. Low-carbohydrate, low-protein diet C. Regular diet, no added salt D. Low-sodium, fluid-restricted

Correct Answer is C

Explanation

A. Low-protein, low-potassium diet: Protein restriction is not typically required unless severe renal dysfunction exists. Potassium restriction is not necessary with normal output and levels.
B. Low-carbohydrate, low-protein diet: There is no need to restrict carbohydrates.
C. Regular diet, no added salt: Sodium restriction helps manage edema without imposing unnecessary dietary limitations.
D. Low-sodium, fluid-restricted diet: Fluid restriction is not typically required unless there is severe oliguria or fluid overload.

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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?

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