A client inquires about the signs of electrolyte imbalances in a dehydrated child.
Which symptoms should the nurse mention?
"Lethargy and muscle weakness.”..
"Increased appetite and hyperactivity.”..
"Shortness of breath and coughing.”..
"Excessive thirst and urination.”..
The Correct Answer is A
Choice A rationale:
Lethargy and muscle weakness are common signs of electrolyte imbalances in a dehydrated child.
Dehydration can lead to an imbalance of electrolytes, such as sodium and potassium, which affects muscle function and overall energy levels.
Choice B rationale:
Increased appetite and hyperactivity are not typical signs of electrolyte imbalances in a dehydrated child.
Dehydration often leads to a decreased appetite and lethargy.
Choice C rationale:
Shortness of breath and coughing are not directly related to electrolyte imbalances in a dehydrated child.
These symptoms are more likely to be associated with respiratory or pulmonary issues rather than dehydration.
Choice D rationale:
Excessive thirst and urination are common signs of dehydration but are not indicative of electrolyte imbalances.
These symptoms occur as the body attempts to compensate for fluid loss by increasing thirst and increasing urine output.
Electrolyte imbalances are more likely to manifest as muscle weakness and cardiac arrhythmias.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale:
Thirst and dry mouth are early signs of dehydration.
When the body loses fluids, it signals the brain to increase thirst and conserve water.
Dry mouth can occur due to reduced saliva production when the body is dehydrated.
Choice B rationale:
Decreased urine output and dark-colored urine are indicators of concentrated urine, suggesting dehydration.
Reduced fluid intake or excessive fluid loss can lead to decreased urine production, and the urine becomes more concentrated, appearing darker than usual.
Choice C rationale:
Rapid heart rate and low blood pressure are signs of hypovolemic shock, a severe form of dehydration where the body cannot circulate enough blood to meet its needs.
This can happen in severe cases of dehydration when there is a significant loss of fluids and electrolytes.
Choice D rationale:
Poor skin turgor is a classic clinical sign of dehydration.
Skin turgor refers to the skin's ability to return to its normal position after being pinched.
In dehydrated individuals, the skin loses elasticity and remains tented or "pinched" after being pulled up.
This indicates a lack of fluid in the body.
Choice E rationale:
Increased energy and playfulness are not typical signs of dehydration.
Dehydrated children are more likely to be lethargic and irritable due to the physiological stress on their bodies.
Correct Answer is ["A","B","D","E"]
Explanation
Choice A rationale:
Assessing the degree of dehydration based on clinical signs and symptoms is a fundamental step in managing a dehydrated child.
This assessment guides the choice of appropriate treatment and fluid replacement.
Choice B rationale:
Calculating the fluid deficit based on the degree of dehydration is crucial in determining the amount of fluid that needs to be replaced accurately.
This calculation helps prevent under or overhydration.
Choice D rationale:
Monitoring the child's response to treatment and adjusting the plan accordingly is essential.
Dehydration management is an ongoing process, and adjustments may be necessary based on how the child is progressing.
Choice E rationale:
Communication with physicians, nutritionists, and other healthcare professionals is vital for comprehensive care.
Dehydration management often involves a multidisciplinary approach to address the child's overall health and nutritional needs.
Selecting all of these options (A, B, D, and E) ensures a comprehensive approach to managing dehydration in a child.
It involves assessment, calculation, monitoring, and collaboration with healthcare professionals for the best outcome.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.