A 3-month-old is admitted with severe diarrhea. Yesterday, the infant weighed 11 pounds (5 kg). Today, this infant weighs 9 pounds, 8 ounces (4.3 kg). Based on this information the nurse documents that the infant has:

Severe dehydration.

Risk for fluid volume deficit.

Failure to thrive.

Malabsorption syndrome

Answer and Explanation

The Correct Answer is A

A. A weight loss of 10% or more in infants within a short period is indicative of severe dehydration. The significant weight loss from 5 kg to 4.3 kg confirms this diagnosis.

B. The risk for fluid volume deficit would be noted if there were signs of potential dehydration, but in this case, the infant has already lost a significant amount of weight, confirming severe dehydration.

C. Failure to thrive is a diagnosis related to insufficient weight gain over time, rather than acute weight loss due to dehydration.

D. Malabsorption syndrome could contribute to chronic weight loss, but the acute loss in this case is more likely due to dehydration from diarrhea.

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Correct Answer is C

Explanation

A. The pneumococcal polysaccharide vaccine is typically administered to older adults or individuals with certain chronic conditions, not routinely to adolescents.

B. The influenza vaccine is important and should be administered annually but is not specific to pre-college preparation.

C. The meningococcal polysaccharide vaccine is recommended for adolescents, especially those preparing to enter college, as it protects against meningococcal disease, which can spread quickly in communal living settings.

D. The Bacille Calmette-Guérin (BCG) vaccine is used in areas with high tuberculosis incidence and is not a standard immunization for adolescents in the United States.

A. "My son might have nausea and vomiting with hypoglycemia." B. "My son might complain of feeling shaky when he has a low blood glucose level." C. "The onset of low blood glucose usually occurs slowly." D. "Sweating can occur with hyperglycemia."

Correct Answer is B

Explanation

A. Nausea and vomiting are more commonly associated with hyperglycemia, not hypoglycemia.

B. Shakiness is a common symptom of hypoglycemia, indicating that the parents understand the signs of low blood glucose levels.

C. The onset of hypoglycemia is typically rapid, not slow, which is why quick intervention is necessary.

D. Sweating is a common symptom of hypoglycemia, not hyperglycemia.

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A 3-month-old is admitted with severe diarrhea. Yesterday, the infant weighed 11 pounds (5 kg). Today, this infant weighs 9 pounds, 8 ounces (4.3 kg). Based on this information the nurse documents that the infant has:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is performing a pre-college physical assessment on an adolescent. Which of the following immunizations should the nurse anticipate administering?

Correct Answer is C

Explanation

A nurse is providing discharge teaching to the parents of a child who has a new diagnosis of diabetes mellitus. Which of the following statements by the parents indicates an understanding of the teaching?

Correct Answer is B

Explanation

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