Several clients are being seen in the emergency department for nausea and vomiting. Which clients are at an increased risk for dehydration and would require pharmacotherapy to treat this condition?
Standard Text: Select all that apply.
1. A 1-week-old neonate
2. A 2-year-old toddler
3. A 36-year-old female
4. A 22-year-old male
5. An 80-year-old female
Correct Answer: 1,2,5
Rationale 1: Dehydration is especially dangerous for infants, and nausea and vomiting should be treated due to the client's age.
Rationale 2: Dehydration is especially dangerous for small children, and nausea and vomiting should be treated due to the client's age.
Rationale 3: Dehydration is not especially dangerous for healthy adults, and nausea and vomiting may not require treatment with pharmacotherapy.
Rationale 4: Dehydration is not especially dangerous for healthy adults, and nausea and vomiting may not require treatment with pharmacotherapy.
Rationale 5: Dehydration is especially dangerous for the older adult. Nausea and vomiting may require treatment with pharmacotherapy.
Global Rationale: Dehydration is especially dangerous for infants, small children, and the older adult and is evidenced by dry mouth, sticky saliva, and reduced urine output that is dark yellow-orange to brown in color. Healthy middle adults are not at high risk even with situational nausea and vomiting.
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