A nurse is assessing a dehydrated child's vital signs.
What parameters should the nurse monitor?
"Height and weight.”..
"Heart rate and blood pressure.”..
"Hair and eye color.”..
"Shoe size and clothing size.”..
The Correct Answer is B
Choice A rationale:
"Height and weight.”.
Rationale: While monitoring height and weight is important for a child's growth and development, these parameters are not the primary vital signs to assess dehydration.
Dehydration assessment focuses on immediate physiological indicators, such as heart rate and blood pressure.
Choice B rationale:
"Heart rate and blood pressure.”.
Rationale: This is The correct answer.
When assessing a dehydrated child, monitoring vital signs such as heart rate and blood pressure is crucial.
Dehydration can lead to an increased heart rate and decreased blood pressure.
These parameters provide valuable information about the child's circulatory status and fluid balance.
Choice C rationale:
"Hair and eye color.”.
Rationale: Hair and eye color are not relevant parameters for assessing dehydration.
They are genetic traits and do not change in response to dehydration.
Choice D rationale:
"Shoe size and clothing size.”.
Rationale: Shoe size and clothing size are not relevant for assessing dehydration.
These measurements are related to a child's growth and body structure but do not provide information about their hydration status.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Maintaining a warm room temperature is not the key to preventing dehydration.
Dehydration occurs when the body loses more fluids than it takes in, and temperature control in the room doesn't directly address this issue.
Choice B rationale:
The significance of oral rehydration solution (ORS) is a crucial factor in preventing and treating dehydration.
ORS contains a balanced mixture of salts and sugars that help the body reabsorb water and electrolytes lost due to dehydration.
It is the most effective way to rehydrate a dehydrated child.
Educating the client about the importance of ORS is essential because it provides a clear solution to the problem of dehydration.
Choice C rationale:
The need for a complete blood count (CBC) testing is unrelated to the prevention of dehydration.
CBC is a diagnostic test used to assess various blood parameters, including red and white blood cell counts.
It is not a preventive measure against dehydration.
Choice D rationale:
Suggesting the child's need for frequent, heavy meals is not an appropriate way to prevent dehydration.
In fact, heavy meals can sometimes worsen dehydration as they may be difficult to digest, leading to an increased risk of vomiting and diarrhea, which exacerbate fluid loss.
Correct Answer is ["A","B","C"]
Explanation
Choice A rationale:
Gastrointestinal illnesses, including diarrhea and vomiting, lead to fluid loss, significantly contributing to dehydration in children.
Diarrhea increases water and electrolyte loss from the body, while vomiting leads to rapid fluid depletion.
These conditions can be severe, especially in infants and young children, making them prone to dehydration.
Choice B rationale:
Excessive sweating during physical activity or in hot weather can result in significant fluid loss.
Children, especially when engaged in vigorous activities, can sweat profusely, leading to dehydration, especially if fluid intake does not match the loss.
Monitoring fluid balance is crucial during such situations to prevent dehydration-related complications.
Choice C rationale:
Insufficient fluid intake due to poor feeding or decreased thirst perception can lead to dehydration, especially in infants and young children who rely heavily on fluid intake for their hydration needs.
Children may not recognize their thirst or may refuse to drink due to illness, leading to decreased fluid intake.
This can result in dehydration, emphasizing the importance of assessing feeding habits and fluid intake patterns.
Choice D rationale:
Sunken eyes and fontanelle in infants are physical signs of dehydration, not etiological factors.
Sunken eyes are due to decreased tissue turgor, indicating dehydration.
Fontanelle, the soft spot on an infant's head, can appear sunken in dehydration.
These signs are crucial in assessing the severity of dehydration during physical examination but do not contribute to the causes of dehydration.
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