A nurse is caring for a school-age child with diarrhea. The nurse suspects dehydration after assessing which of the following findings?
Increased urine output
Normal skin turgor
Dry mucous membranes
Bradypnea
The Correct Answer is C
A. Increased urine output is not typically indicative of dehydration; rather, decreased urine output may suggest dehydration.
B. Normal skin turgor is not indicative of dehydration; decreased skin turgor is a more reliable indicator.
C. Dry mucous membranes, such as dry mouth or cracked lips, are common signs of dehydration.
D. Bradypnea, or slow breathing, is not typically associated with dehydration; tachypnea may occur in some cases of dehydration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Pain medication may be necessary for the infant following surgery; however, it should be administered as prescribed by the healthcare provider.
B. Allowing the infant to cry for long periods of time may strain the surgical site and delay healing; comforting the infant is recommended.
C. Applying pressure to the site each night is not necessary and may cause discomfort or disrupt healing.
D. Keeping the incision site dry and clean helps prevent infection and promotes healing after umbilical hernia repair.
Correct Answer is B
Explanation
A. Polyuria is a symptom of nephrotic syndrome but may not be the priority action compared to managing complications like hypertension.
B. Hypertension is a common complication of nephrotic syndrome and requires immediate attention to prevent further complications.
C. Smokey brown urine may indicate significant renal damage but is not the priority compared to managing hypertension.
D. Facial edema is a common symptom of nephrotic syndrome but may not be the priority compared to managing hypertension.
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