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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Antibiotics: Antibiotics are used for infections, not for enuresis.
B. Behavioral therapy and/or DDVAP (Desmopressin): Behavioral therapy (such as bedwetting alarms) is first-line, and desmopressin reduces nocturnal urine production when behavioral methods are insufficient.
C. Pain medication: Pain is not a factor in enuresis and does not require analgesics.
D. Surgical intervention: Surgery is not a common treatment for enuresis and is only considered in rare anatomical abnormalities.
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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