The nurse is caring for an infant with gastroenteritis who is being treated for dehydration. The nurse reviews the health record and notes that the physician has documented that the infant is mildly dehydrated
Which of the following assessment findings would the nurse find in a child with mild dehydration? 1. Anuria
2. Pale skin color
3. Sunken fontanels
4. Dry mucous membranes
2
Rationale: "Dry mucous membranes" is an assessment characteristic of moderate dehydration. "Anuria" and "sunken fontanels" are assessment characteristics of severe dehydration. In mild dehydration the skin color is pale.
You might also like to view...
The nurse is instructing a patient about performing home testing for fecal occult blood. The nurse can conclude that learning occurs if the patient says, "For 3 days prior to testing, I should avoid eating
1) Beef. 2) Milk. 3) Eggs. 4) Oatmeal.
Refer to the intake and output record in question 18 to determine the most influential contributor to the client's fluid status for the 24-hour period
1. Low urine output 2. Surgical drainage 3. IV fluid infusions 4. 7 AM to 3 PM period
Which actions by the UAP would require immediate follow-up by the nurse?
a. Informing the nurse she was taking a break b. Taking her lunch break on her home floor after being pulled to another floor c. Asking the patient to let her know the next time he has a bowel movement d. Asking another UAP to obtain a urine sample for her
Which nurse theorist developed the theory of Health as Expanding Consciousness?
A) Rogers B) Newman C) Parse D) Watson