When assessing an infant with moderate dehydration, a nurse would expect which assessment findings?

Fever and hypertension.

Increased specific gravity.

Tachypnea and tachycardia.

Bulging posterior fontanel.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Fever and hypertension are not typical findings in moderate dehydration. Dehydration often leads to hypotension rather than hypertension, and fever is not a direct consequence of dehydration.

Choice B rationale:

Increased specific gravity can be a sign of dehydration, but it is not as specific or sensitive as tachypnea (rapid breathing) and tachycardia (elevated heart rate), which occur due to the body's compensatory mechanisms in response to dehydration.

Choice C rationale:

Tachypnea and tachycardia are key indicators of moderate dehydration in infants. The body tries to maintain perfusion by increasing the heart rate and respiratory rate. These signs are more reliable indicators of dehydration than specific gravity or fever.

Choice D rationale:

Bulging posterior fontanel is not a typical finding in dehydration. A sunken fontanel might be more indicative of dehydration, as fluid shifts from the intracellular to the extracellular space.

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Correct Answer is A

Explanation

The correct answer is choice A. Takes a bubble bath every day.

Choice A rationale:

Bubble baths can cause urinary tract infections (UTIs) in children. The soap and bubbles can irritate the child’s privates, leading to discomfort and potentially contributing to the development of a UTI. It’s particularly true for young girls, as exposure to soap and bubbles can hurt their privates, leaving them itchy and uncomfortable. While not the most common cause, bubble baths have been associated with UTIs due to the irritation they can cause.

Choice B rationale:

While handwashing is crucial for preventing the spread of germs, there is less direct evidence linking the lack of handwashing after toileting to UTIs. However, good hygiene practices, including handwashing, are generally recommended to reduce the risk of infections.

Choice C rationale:

Carbonated beverages have been associated with bladder irritation and UTIs in some cases. They can cause problems for individuals with interstitial cystitis, bladder stones, and UTIs due to the carbonic acid they contain. However, the link between carbonated beverages and UTIs is not as direct as that of bubble baths.

Choice D rationale:

Wiping the perineal area from front to back after toileting is actually a recommended practice to prevent UTIs. It helps to prevent bacteria from the stool from contaminating the urethra and bladder, which can lead to an infection. Therefore, this choice is unlikely to be related to the client’s UTI.

In conclusion, the most likely data related to the client’s urinary tract infection is the daily bubble baths, as they can directly irritate the urinary tract and create conditions conducive to a UTI.

A. Red blood cell count. B. White blood cell count. C. Platelet count. D. Hematocrit.

Correct Answer is B

Explanation

Choice A rationale:

The red blood cell count is not typically elevated in leukemia. Leukemia primarily affects the white blood cells and their precursors in the bone marrow.

Choice B rationale:

Leukemia involves uncontrolled proliferation of white blood cells. An elevated white blood cell count, especially with abnormal cell types, can support the diagnosis of leukemia.

Choice C rationale:

Platelet count abnormalities are common in leukemia, but an elevated platelet count is more often associated with other conditions such as essential thrombocytosis, not necessarily leukemia.

Choice D rationale:

Hematocrit measures the volume of red blood cells in the blood and is not directly indicative of leukemia. Leukemia primarily affects white blood cells and does not significantly impact hematocrit levels.

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When assessing an infant with moderate dehydration, a nurse would expect which assessment findings?

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Naxlex Comprehensive Predictor Exams

A 4-year-old client is diagnosed with a urinary tract infection. After taking a history about the client from the mother, which data is most likely related to the client's urinary tract infection?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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