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 ["A","B","D"]

Explanation

A. Wheezing: Reflux of stomach contents can cause aspiration, leading to wheezing or respiratory symptoms.
B. Weight Loss: Chronic vomiting and poor feeding due to GER can result in inadequate weight gain or weight loss.
C. Pallor: Pallor is not commonly associated with GER but may indicate anemia or another condition.
D. Vomiting: Vomiting, especially after feeding, is a hallmark sign of GER.
E. Rigid Abdomen: A rigid abdomen is more indicative of severe abdominal pathology like peritonitis, not GER.

A. Report recurrence of urinary frequency B. Avoid bubble bath C. Empty bladder completely with each void. D. Wipe perineal area back to front E. Wear nylon underpants

Correct Answer is ["A","B","C"]

Explanation

A. Report recurrence of urinary frequency: Urinary frequency can indicate unresolved or recurrent UTI.
B. Avoid bubble bath: Bubble baths can irritate the urethra and increase the risk of UTIs.
C. Empty bladder completely with each void: Incomplete bladder emptying can promote bacterial growth.
D. Wipe perineal area back to front: The correct method is wiping front to back to prevent bacterial contamination from the anal area.
E. Wear nylon underpants: Cotton underpants are recommended to allow better airflow and reduce moisture, which promotes bacterial growth.

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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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