Which assessment finding would cause the nurse to notify the MD immediately when assessing a 10-month-old child who had emergency reduction for intussusception 10 hours previously?

Choice A reason: This statement is incorrect, as pedialyte is not the best thing for the child who is refusing to drink it, as it can cause dehydration and electrolyte imbalance. The nurse should not force the child to drink pedialyte, but rather offer alternatives that are more appealing and acceptable to the child.

Choice B reason: This statement is correct, as pedialyte is the best thing for the child who has diarrhea and vomiting, as it can prevent dehydration and electrolyte imbalance. The nurse should encourage the parent to give pedialyte to the child, but also respect the child's preferences and autonomy. The nurse should suggest different ways to make pedialyte more palatable and fun for the child, such as using a spoon, a medicine cup, a syringe, or a popsicle.

Choice C reason: This statement is incorrect, as clear diet soda is not a good option for the child who has diarrhea and vomiting, as it can worsen the dehydration and electrolyte imbalance. The nurse should advise the parent to avoid giving soda to the child, as it contains caffeine, sugar, and carbonation, which can irritate the stomach and intestines, and increase the fluid loss.

Choice D reason: This statement is incorrect, as it does matter what the child drinks, as some fluids can help or harm the child's hydration and electrolyte status. The nurse should educate the parent about the best and worst fluids for the child who has diarrhea and vomiting, and recommend pedialyte as the first choice. The nurse should also instruct the parent to give small and frequent amounts of fluids to the child, and to monitor the urine output, weight, and signs of dehydration.

Choice A reason: This statement is incorrect, as weight alone is not a reliable indicator of overweight or obesity in children and adolescents, as it does not account for the variations in growth, age, sex, and body composition. The nurse should use weight in conjunction with other measures, such as height, BMI, and growth charts, to assess the nutritional status and health risks of the child.

Choice B reason: This statement is incorrect, as height alone is not a reliable indicator of overweight or obesity in children and adolescents, as it does not account for the variations in growth, age, sex, and body composition. The nurse should use height in conjunction with other measures, such as weight, BMI, and growth charts, to assess the nutritional status and health risks of the child.

Choice C reason: This statement is incorrect, as body surface area (BSA) is not a recommended method of screening for overweight or obesity in children and adolescents, as it is not widely used or validated in this population. BSA is a measure of the total area of the skin, which can be calculated using various formulas based on weight and height. BSA is mainly used for dosing certain medications, such as chemotherapy, and for estimating the metabolic rate.

Choice D reason: This statement is correct, as body mass index (BMI) is the recommended method of screening for overweight or obesity in children and adolescents, as it is a simple and standardized measure of body fatness that can be used for comparison across different populations and age groups. BMI is calculated by dividing the weight in kilograms by the height in meters squared. The nurse should use the BMI-for-age percentile charts to interpret the BMI value and classify the child as underweight, healthy weight, overweight, or obese