A nurse is assessing a 9-month-old infant who has gastroenteritis. Which of the following findings should the nurse identify as a manifestation of severe fluid volume deficit?

Flat anterior fontanel

Dry, hot skin

Loss of 5% of weight

Absence of tears when crying

Answer and Explanation

The Correct Answer is D

A. "Flat anterior fontanel." A sunken anterior fontanel, not flat, is a sign of severe dehydration in infants.
B. "Dry, hot skin." Dry skin is a symptom of dehydration, but "hot" skin may indicate fever rather than severe dehydration.
C. "Loss of 5% of weight." A 5% weight loss indicates mild dehydration; severe dehydration is characterized by a weight loss of 10% or more.
D. "Absence of tears when crying." Absence of tears is a reliable indicator of severe dehydration in infants.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Passive range of motion exercises are contraindicated during acute joint swelling and bleeding, as they can exacerbate bleeding into the joints (hemarthrosis).
B. Aspirin is contraindicated as it can impair platelet function and worsen bleeding in clients with bleeding disorders.
C.Offering an electronic tablet helps to distract the toddler and prevent unnecessary movement, which could worsen joint bleeding or discomfort.
D. Warm packs are contraindicated during acute joint swelling; cold packs should be used to reduce bleeding and swelling.

A. Koplik spots B. Decreased protein in the cerebrospinal fluid C. Nuchal rigidity D. Decreased glucose in the cerebrospinal fluid

Correct Answer is C

Explanation

A. Koplik spots: These are small, white lesions on the buccal mucosa associated with measles, not meningitis.
B. Decreased protein in cerebrospinal fluid (CSF): Viral meningitis typically causes normal or slightly elevated protein levels in CSF.
C. Nuchal rigidity. Nuchal rigidity (stiff neck) is a classic sign of meningitis due to inflammation of the meninges.
D. Decreased glucose in cerebrospinal fluid: Decreased glucose in CSF is associated with bacterial meningitis, not viral.

View Question and Answer

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

A nurse is assessing a 9-month-old infant who has gastroenteritis. Which of the following findings should the nurse identify as a manifestation of severe fluid volume deficit?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Exhibits A nurse is caring for a toddler on a pediatric unit. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for a 3-year-old child who has viral meningitis. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is admitting a child who has pertussis. Which of the following isolation precautions should the nurse initiate for the child?

A nurse is providing teaching about food choices to the parent of a school-age child who has celiac disease. Which of the following statements by the parent indicates an understanding of the teaching?

A nurse is providing home care instructions to the parents of a child who is in the edema phase of nephrotic syndrome. Which of the following instructions should the nurse include in the teaching?

A nurse is assessing a toddler. Which of the following findings should the nurse identify as an indication of potential child maltreatment?

A nurse is assessing a 4-month-old infant at a well-child visit. Which of the following findings should the nurse expect?

Select 2 provider prescriptions the nurse should anticipate.

A nurse is teaching the parent of a school-age child who has cystic fibrosis about home care. Which of the following statements by the parent indicates an understanding of the teaching?