A 6-month-old infant is brought to the emergency room with signs of dehydration, sunken fontanelles, and decreased urine output. What is the priority nursing intervention?
Offering oral rehydration solution (ORS)
Administering intravenous fluids
Monitoring the infant's vital signs
Obtaining a urine sample for analysis
The Correct Answer is B
A. Offering oral rehydration solution (ORS) may not be effective for severe dehydration in an infant who is unable to drink or tolerate oral fluids.
B. Administering intravenous fluids is the priority intervention for a severely dehydrated infant to restore fluid balance and prevent complications.
C. Monitoring vital signs is important but does not address the immediate need for fluid replacement in severe dehydration.
D. Obtaining a urine sample is not the priority; intravenous fluids should be initiated promptly in a severely dehydrated infant.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Applying a tourniquet is not the initial action for controlling bleeding. Direct pressure and elevation are more appropriate.
B. Applying direct pressure and elevating the leg above the level of the heart help control bleeding from the wound.
C. Cleaning the wound with alcohol can wait until after bleeding is controlled. Direct pressure and elevation are the immediate priorities.
D. Administering an oral pain reliever is not the immediate concern; controlling bleeding and preventing infection are the priorities.
Correct Answer is B
Explanation
A. Administering pain medication is not the priority in septic shock. Prompt administration of antibiotics and fluids is crucial to address the underlying infection and support hemodynamic stability.
B. Administering antibiotics and fluids is the priority intervention in managing septic shock. Early initiation of appropriate antibiotics and fluid resuscitation are key components of septic shock management.
C. Providing antipyretics can be done to address fever, but it is not the priority in managing septic shock.
D. Elevating the head of the bed may be done for comfort or respiratory support but is not the priority in septic shock management.
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