A 6-month-old infant is admitted with severe dehydration. Effectiveness of therapy is evaluated with which of the following assessment measures? Select all that apply
1. Record intake and output accurately.
2. Daily weights on the same scale, same time, with no clothes
3. Document mucous membrane moisture every shift.
4. Evaluate level of consciousness continuously.
5. Document abdominal girth every shift.
1; 2; 3; 4
Rationale:
1. All of the choices represent assessment measures that measure the effectiveness of therapy except abdominal girth, which does not provide information regarding hydration status.
2. All of the choices represent assessment measures that measure the effectiveness of therapy except abdominal girth, which does not provide information regarding hydration status.
3. All of the choices represent assessment measures that measure the effectiveness of therapy except abdominal girth, which does not provide information regarding hydration status.
4. All of the choices represent assessment measures that measure the effectiveness of therapy except abdominal girth, which does not provide information regarding hydration status.
5. All of the choices represent assessment measures that measure the effectiveness of therapy except abdominal girth, which does not provide information regarding hydration status.
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