The nurse is assessing an infant brought to the clinic because of diarrhea. The infant is alert, but has dry mucous membranes. Which other sign indicates that the infant still is in the early or mild stage of dehydration?
1. Tachycardia
2. Bradycardia
3. Increased blood pressure
4. Decreased blood pressure
1
Rationale:
1. Tachycardia is a sign that indicates mild dehydration.
2. Bradycardia is not a sign of dehydration.
3. Increased blood pressure is not a sign of dehydration.
4. Decreased blood pressure is not a sign of mild dehydration. Decreased blood pressure indicates moderate-to-severe dehydration.
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An 88-year-old, being admitted to rule out lung cancer, is assessed using the short form of the Geriatric Depression Scale tool. When it is determines that the earned score is 9, the nurse initially:
a. asks if they have any thoughts of committing suicide b. recognizes that this score is not indicative of depression c. knows it is not unusual for clients this age to earn such a score d. notifies the client's healthcare provider immediately
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1. Heart rate 2. Temperature 3. Blood pressure 4. Respiratory rate
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