Which of the following symptoms should a nurse expect to find when assessing an infant who is dehydrated in an emergency department?
Tachycardia.
Bloating.
Hypertension.
Irritability.
Correct Answer : A,D
“Tachycardia” and “Irritability” are both symptoms that a nurse should expect to find when assessing an infant who is dehydrated in an emergency department.
Dehydration occurs when an infant loses so much body fluid that they are not able to maintain ordinary function.
Tachycardia, or a fast heart rate, is a common sign of dehydration in babies and toddlers.
Irritability is also a common sign of dehydration in newborns.
Choice B is not an answer because bloating is not a common symptom of dehydration in infants.
Choice C is not an answer because hypertension, or high blood pressure, is not a
common symptom of dehydration in infants.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A. The nurse should check the conjunctiva to determine the presence of pallor in a client who is African-American. Choices B, C, and D are incorrect because pallor is not expected in these areas. Choice B is not correct because pallor is not expected in the pinna of the ear. Choice C is not correct because pallor is not expected in the abdomen. Choice D is not correct because pallor is not expected in the antecubital space.
Correct Answer is A
Explanation
Recent exposure to tuberculosis. This is the priority data that the nurse should address as it puts other clients and hospital staff at risk of contracting tuberculosis. Options B, C, and D are not urgent and can be addressed after addressing option A.
Reasons why the other options are not answers:
Option B: A history of generalized anxiety disorder is not an urgent issue that requires the nurse's immediate attention.
Option C: Reports periodic migraine headaches are not an urgent issue that requires the nurse's immediate attention.
Option D: Experiencing nocturia is not an urgent issue that requires the nurse's immediate attention.
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