A father brings in his 2-month-old infant to the clinic because the infant has had diarrhea for the last 24 hours. He says his baby has not been able to keep any formula down and that the diarrhea has been at least every 2 hours
The nurse suspects dehydration. The nurse should test skin mobility and turgor over the infant's:
a.
Sternum.
b.
Forehead.
c.
Forearms.
d.
Abdomen.
ANS: D
Mobility and turgor are tested over the abdomen in an infant. Poor turgor, or tenting, indicates dehydration or malnutrition. The other sites are not appropriate for checking skin turgor in an infant.
You might also like to view...
The nurse is teaching a group of family members who have relatives living with them who are experiencing neurotransmitter difficulties. What information should the nurse include about the role of transmitters?
1. Neurotransmitters carry or block messages between nerves. 2. Neurotransmitters are fluids that protect the brain. 3. Neurotransmitters enter the bloodstream. 4. Neurotransmitters act once and are then absorbed and excreted.
Following surgery for adenocarcinoma, the client learns the tumor stage is T3, N1, M0 . What treatment mode will the nurse anticipate?
A) No further treatment is indicated. B) Adjuvant therapy is likely. C) Palliative care is likely. D) Repeat biopsy is needed before treatment begins.
The nurse is caring for a client with hypoparathyroidism. When the nurse taps the client's facial nerve, the client's mouth twitches and the jaw tightens. What is this response documented as related to the low calcium levels?
A) Positive Chvostek's sign B) Positive Trousseau's sign C) Positive paresthesias D) Positive Babinski's sign
Which assessment finding would contraindicate the use of atropine in a client scheduled for general anesthesia?
A) Detached retina B) Cerebrovascular accident C) Cataracts D) Glaucoma