A nurse is assessing a child with suspected gastroenteritis. Which of the following should be included in the assessment? (Select all that apply)
Vital signs.
Travel history.
Urinary output.
Blood glucose level.
Skin turgor.
Correct Answer : A,B,E
Choice A rationale:
Vital signs are crucial to assess the child's overall condition and the severity of gastroenteritis. Elevated heart rate and decreased blood pressure may indicate dehydration.
Choice B rationale:
Travel history is important to identify potential sources of infection or exposure, which can help determine appropriate treatment and infection control measures.
Choice C rationale:
Urinary output can be monitored to assess the child's hydration status. Decreased urine output may indicate dehydration.
Choice D rationale:
Blood glucose level, while relevant in some medical conditions, is not a primary consideration in the assessment of gastroenteritis.
Choice E rationale:
Skin turgor reflects the degree of dehydration. Poor skin turgor may indicate significant fluid loss.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale:
ORT (oral rehydration therapy) helps replace lost fluids and electrolytes but does not provide all the necessary nutrients. It is essential to address the client's concerns about food intake.
Choice B rationale:
Soft and bland foods are recommended once vomiting subsides, but suggesting this before addressing the client's concern may not effectively address the issue.
Choice C rationale:
Encouraging regular meals may not be appropriate during gastroenteritis, as the digestive system needs time to recover. Eating regular meals could potentially exacerbate symptoms.
Choice D rationale:
Gastroenteritis commonly leads to a reduced appetite due to nausea, vomiting, and stomach discomfort. Assuring the client that a decreased appetite is normal and emphasizing the importance of fluid intake through ORT is appropriate.
Correct Answer is ["A","B","E"]
Explanation
Choice A rationale:
Vital signs are crucial to assess the child's overall condition and the severity of gastroenteritis. Elevated heart rate and decreased blood pressure may indicate dehydration.
Choice B rationale:
Travel history is important to identify potential sources of infection or exposure, which can help determine appropriate treatment and infection control measures.
Choice C rationale:
Urinary output can be monitored to assess the child's hydration status. Decreased urine output may indicate dehydration.
Choice D rationale:
Blood glucose level, while relevant in some medical conditions, is not a primary consideration in the assessment of gastroenteritis.
Choice E rationale:
Skin turgor reflects the degree of dehydration. Poor skin turgor may indicate significant fluid loss.
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