A nurse in an urgent care clinic is caring for an infant who presents with vomiting, diarrhea, and decreased oral intake. Which of the following manifestations should the nurse expect?
Hypertension
Decreased temperature
Oliguria
Bulging anterior fontanel
The Correct Answer is C
Rationale:
A. Hypertension: Dehydration in infants typically causes hypotension, not hypertension, due to reduced circulating volume and poor perfusion as fluid loss progresses.
B. Decreased temperature: While temperature may fluctuate in dehydration, fever is more common due to infection-related fluid loss. A decreased temperature is not a consistent sign.
C. Oliguria: Decreased urine output is a key indicator of dehydration in infants. The kidneys conserve water during hypovolemia, resulting in oliguria (less than 1 mL/kg/hr).
D. Bulging anterior fontanel: A bulging fontanel usually indicates increased intracranial pressure, not dehydration. Dehydration typically causes a sunken fontanel in infants.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Carbamazepine: Carbamazepine is an anticonvulsant used for long-term seizure control and prevention, particularly for focal seizures. It is not effective for rapid seizure termination during status epilepticus.
B. Lorazepam: Lorazepam is a benzodiazepine commonly used as the first-line treatment for status epilepticus due to its rapid onset and effectiveness in stopping prolonged seizure activity. It can be administered IV for immediate action.
C. Clonazepam: Clonazepam is a long-acting benzodiazepine used for seizure management but not typically used to treat status epilepticus due to its slower onset of action compared to lorazepam or diazepam.
D. Lamotrigine: Lamotrigine is used as a maintenance medication to prevent seizures, particularly in generalized and focal epilepsy. It is not appropriate for emergency treatment of active seizure episodes like status epilepticus.
Correct Answer is C,D,A,B
Explanation
Rationale:
A. Close all nearby windows and doors: Containment helps prevent the spread of smoke and flames. Closing doors and windows minimizes oxygen supply to the fire and keeps it from moving into other areas.
B. Use the unit's fire extinguisher to attempt to put out the fire: The final step is to extinguish the fire, but only if it is safe to do so. The nurse should not attempt this before ensuring safety, alerting others, and containing the fire.
C. Transport the client to another area of the nursing unit: The first priority in a fire situation is rescue, removing anyone in immediate danger, especially vulnerable clients who cannot evacuate themselves.
D. Activate the facility's fire alarm system: Once the client is safe, the next step is to alarm the system to alert others in the facility and begin emergency response protocols.
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.