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 C
Explanation
A. Pyloric stenosis involves obstruction at the outlet of the stomach and is not related to the large intestine.
B. Encopresis refers to bowel incontinence and is not typically associated with mechanical obstruction of the large intestine.
C. Hirschsprung's disease, characterized by the absence of ganglion cells in the large intestine, results in decreased motility and mechanical obstruction, leading to megacolon.
D. Enterocolitis is inflammation of the intestines and can be a complication of Hirschsprung's disease but is not the primary disorder causing mechanical obstruction.
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.
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