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 C
Explanation
A. "Give your infant an oral rehydrating solution.": Rehydration is important but does not address the underlying issue of possible pyloric stenosis.
B. "Burp your child more frequently during feedings.": Burping does not resolve projectile vomiting, which may indicate a more serious condition.
C. "Bring your infant into the clinic today to be seen.": Projectile vomiting and post-feeding hunger are signs of pyloric stenosis, which requires prompt evaluation.
D. "You might want to try switching to a different formula.": Changing formula does not address the likely structural cause of vomiting.
Correct Answer is ["C","D"]
Explanation
A. Bronchodilators: These are used for respiratory conditions, not glomerulonephritis.
B. Antiemetics: Antiemetics are not indicated unless vomiting is present, which is uncommon in glomerulonephritis.
C. Antihypertensives: Hypertension is a common complication in acute glomerulonephritis and requires treatment.
D. Diuretics: Diuretics may be used to manage fluid overload and reduce edema in these patients.
E. Anticoagulants: Anticoagulants are not routinely used in glomerulonephritis unless there is a specific indication.
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