A nurse is assessing an infant with suspected gastroenteritis. Which assessment finding should be reported immediately?
Dry lips and sunken fontanelle
Slightly decreased urine output
Mild irritability during feedings
Occasional vomiting after feeds
The Correct Answer is A
A) Correct. Dry lips and a sunken fontanelle are signs of severe dehydration in an infant and require immediate attention.
B) Incorrect. While decreased urine output is a concern, it may not necessitate immediate reporting if it is only slightly decreased.
C) Incorrect. Mild irritability during feedings is a symptom of discomfort but may not necessitate immediate reporting.
D) Incorrect. Occasional vomiting after feeds is a common symptom of gastroenteritis and may not necessitate immediate reporting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect. Resuming normal activities when only feeling slightly better may risk spreading the infection to others.
B) Correct. It's important to wait until all symptoms, including diarrhea, vomiting, and abdominal pain, have completely resolved before resuming normal activities to prevent the spread of infection.
C) Incorrect. Being symptom-free for only 24 hours may not be sufficient to ensure full recovery from gastroenteritis.
D) Incorrect. Antibiotics are not always prescribed for gastroenteritis, and resuming normal activities should be based on symptom resolution, not antibiotic use.
Correct Answer is B
Explanation
A) Incorrect. Untreated GERD is not directly associated with the development of gallstones.
B) Correct. Untreated GERD can lead to complications such as esophagitis (inflammation of the esophagus), ulcers in the esophagus, and strictures (narrowing of the esophagus). These complications can significantly impact a client's health.
C) Incorrect. Untreated GERD does not lead to the formation of kidney stones.
D) Incorrect. Untreated GERD is not directly associated with the development of high blood pressure.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.