A nurse is caring for a client with suspected viral gastroenteritis. What assessment finding should the nurse prioritize?
Skin turgor and mucous membranes
Blood pressure and heart rate
Urinary output and specific gravity
Respiratory rate and lung sounds
The Correct Answer is A
A) Correct. Skin turgor and mucous membranes are important indicators of hydration status, which is a critical concern in clients with gastroenteritis.
B) Incorrect. While blood pressure and heart rate are important vital signs, they may not provide immediate information about the client's hydration status.
C) Incorrect. Urinary output and specific gravity are important indicators of renal function, but they may not provide immediate information about the client's hydration status.
D) Incorrect. Respiratory rate and lung sounds are important assessments, but they may not provide immediate information about the client's hydration status.
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Related Questions
Correct Answer is D
Explanation
A) Incorrect. Avoiding hand hygiene is not an effective way to prevent gastroenteritis; in fact, it increases the risk of infection.
B) Incorrect. Sharing personal items can increase the risk of spreading gastroenteritis, as the virus or bacteria can be easily transmitted through shared items.
C) Incorrect. While alcohol-based hand sanitizers can be used in the absence of soap and water, they are not as effective as proper handwashing.
D) Correct. Proper hand hygiene, especially after using the restroom, is crucial in preventing the spread of gastroenteritis, as it reduces the risk of contaminating hands with potentially infectious agents.
Correct Answer is B
Explanation
A) Incorrect. While antidiarrheal medications can provide relief, they should be used with caution as they can potentially prolong the infection by preventing the body from expelling the infectious agent.
B) Correct. It's generally recommended to avoid using antidiarrheal medications in cases of infectious gastroenteritis, as they can impede the body's natural defense mechanism of expelling the infectious agent through diarrhea.
C) Incorrect. Antidiarrheal medications may be prescribed by a healthcare provider in specific cases, but they are not recommended as a first-line treatment for infectious gastroenteritis.
D) Incorrect. Antidiarrheal medications can be used in both children and adults, but they should be used with caution and under the guidance of a healthcare provider.
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