Which assessment is most relevant to the care of an infant with dehydration?

a. Temperature, heart rate, and blood pressure.
b. Respiratory rate, oxygen saturation, and lung sounds.
c. Heart rate, sensorium, and skin color.
d. Diet tolerance, bowel function, and abdominal girth.


C
Feedback
A Children can compensate and maintain an adequate cardiac output when they are
hypovolemic. Blood pressure is not as reliable an indicator of shock as are
changes in heart rate, sensorium, and skin color.
B Respiratory assessments will not provide data about impending hypovolemic
shock.
C Changes in heart rate, sensorium, and skin color are early indicators of
impending shock in the child.
D Diet tolerance, bowel function, and abdominal girth are not as important
indicators of shock as heart rate, sensorium, and skin color.

Nursing

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