A nurse is assessing a toddler who has gastroenteritis and is exhibiting manifestations of dehydration. Which of the following findings should the nurse address first?

Hypotension

Tachypnea

Нурегругехіа

Skin breakdown

Answer and Explanation

The Correct Answer is A

A. Hypotension is the most critical finding in dehydration, as it indicates severe fluid loss and can lead to shock. Immediate intervention is required to address the circulatory compromise.

B. Tachypnea is a compensatory response to dehydration and may not require as immediate attention as hypotension.

C. Hyperpyrexia (high fever) can occur in gastroenteritis but is less urgent compared to hypotension.

D. Skin breakdown is a concern in dehydrated patients, but hypotension poses a more immediate threat to life.

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Correct Answer is D

Explanation

A. A low-protein, low-potassium diet is not indicated for acute glomerulonephritis; protein restriction is generally considered for chronic renal failure.

B. Low-carbohydrate and low-protein diets are not indicated for this condition.

C. A regular diet with no added salt is inappropriate due to the child’s edema and need for sodium and fluid restrictions.

D. A low-sodium, fluid-restricted diet is appropriate for a child with acute glomerulonephritis to manage edema and prevent fluid overload.

A. Decrease pancreatic enzymes if steatorrhea develops. B. Limit fluid intake to 750ml per day. C. Increase fat content in the child's diet to 40% of total calories. D. Administer pancreatic enzymes 2 hr after meals.

Correct Answer is C

Explanation

A. Pancreatic enzymes should not be decreased for steatorrhea; they are required to help with digestion.

B. Fluid intake should not be restricted; hydration is important for children with cystic fibrosis.

C. Children with cystic fibrosis need a high-calorie, high-fat diet due to malabsorption of nutrients and increased energy needs.

D. Pancreatic enzymes should be administered with meals, not two hours after.

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A nurse is assessing a toddler who has gastroenteritis and is exhibiting manifestations of dehydration. Which of the following findings should the nurse address first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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