A mother brings her baby to the emergency department stating that the baby no longer makes tears when crying but is having multiple soaked diapers per day. Which assessment by the nurse takes priority?
A.
Last bowel movement
B.
Palpation of fontanels
C.
Prenatal history
D.
Time of last meal
ANS: B
This child has manifestations of dehydration, and with the frequent soaked diapers, may have diabetes insipidus. Assessments of circulation take priority. The nurse assesses the other factors, but they can wait until more important assessments have been completed.
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