What is the priority nursing intervention for a 6-month-old infant hospitalized with diarrhea and dehydration?
a. Estimating insensible fluid loss
b. Collecting urine for culture and sensitivity
c. Palpating the posterior fontanel
d. Measuring the infant's weight
D
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A Infants have a greater total body surface area and therefore a greater potential for
fluid loss through the skin. It is not possible to measure insensible fluid loss.
B Urine for culture and sensitivity is not usually part of the treatment plan for the
infant who is dehydrated from diarrhea.
C The posterior fontanel closes by 2 months of age. The anterior fontanel can be
palpated during an assessment of an infant with dehydration.
D Weight is a crucial indicator of fluid status. It is an important criterion for
assessing hydration status and response to fluid replacement.
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