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.

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Correct Answer is C

Explanation

A. "My child will be awake for this procedure.": Incorrect because the child will be under sedation or anesthesia for safety and to prevent distress.
B. "I can take my child home as soon as the procedure is over.": Incorrect because the child must be monitored post-procedure for complications like airway swelling or sedation effects.
C. "The provider will remove the object during this procedure." A bronchoscopy allows visualization and removal of foreign objects from the airway, which is the purpose of the procedure.
D. "After this procedure, I have to wait 48 hours before I can give my child solid foods.": Incorrect because eating is typically resumed after the child recovers from sedation and demonstrates a safe swallow reflex.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

The infant is at risk for developing aspiration pneumonia and esophageal strictures.

Rationale:

Aspiration pneumonia: GER can cause stomach contents to enter the respiratory tract, leading to aspiration pneumonia.
Esophageal strictures: Chronic irritation from stomach acid can result in scarring and narrowing of the esophagus.

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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

A nurse in an emergency department is providing pre-procedure teaching to the parents of a child who is to undergo a bronchoscopy due to aspiration of a foreign body. Which of the following parent statements indicate understanding of the teaching?

Correct Answer is C

Explanation

The nurse is continuing to care for the infant. Exhibits Drag words from the choices below to fill in each blank in the following sentence. Based on the findings in the infant's electronic medical record, the nurse determines that the infant is at risk for developingdropdownanddropdown.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Explanation

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