Which is the best nursing response to give a parent about contacting the physician regarding a 4-month-old infant with diarrhea?
"Call the doctor immediately if the infant has a temperature greater than 100°F."
"The pediatrician should be contacted if the infant has two loose stools in an 8-hour period."
"Call your pediatrician if the infant has not had a wet diaper for 8 hours."
"Notify the pediatrician if the infant naps more than 2 hours."
The Correct Answer is C
Choice A reason: Fever is a concern, but it is not the most immediate sign of dehydration.
Choice B reason: While loose stools are a symptom of diarrhea, the frequency mentioned does not necessarily indicate an emergency.
Choice C reason: This is the correct choice. Lack of a wet diaper for 8 hours can indicate dehydration, which is an emergency in infants.
Choice D reason: Longer naps may not be directly related to diarrhea and do not warrant immediate contact with a pediatrician.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: A third-degree circumferential burn can compromise blood flow, posing an immediate risk for altered tissue perfusion, which can lead to tissue necrosis and limb loss.
Choice B reason: While impaired physical mobility is a concern, it is not as immediately life-threatening as altered tissue perfusion.
Choice C reason: Nutritional needs are important for healing, but the immediate threat to life from a third-degree burn is the risk for altered tissue perfusion.
Choice D reason: Fluid imbalance is a significant concern due to the potential for burn-induced edema and dehydration; however, the most immediate life-threatening issue is altered tissue perfusion.
Correct Answer is C
Explanation
Choice A reason: While elevated, this level of blood urea nitrogen is not critical before an MRI with contrast.
Choice B reason: Elevated fasting blood sugar is a concern for diabetes management but not typically for MRI with contrast.
Choice C reason: This is the correct choice. Elevated serum creatinine indicates reduced kidney function, which could be worsened by contrast agents used in MRI.
Choice D reason: An A1c of 8% indicates poor long-term glucose control but is not a direct concern for MRI with contrast.
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