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 the infant is still in the early to moderate stage of dehydration?
1. Bradycardia
2. Tachycardia
3. Increased blood pressure
4. Normal fontanels
2
Rationale 1: Bradycardia is not a sign of dehydration.
Rationale 2: Tachycardia is a sign that indicates moderate dehydration.
Rationale 3: In dehydration, the blood pressure is hypotensive.
Rationale 4: Fontanels would be sunken in moderate dehydration.
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The community health nurse assesses the neighborhood in which the clients live
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What will be an ideal response?