A nurse is caring for an infant who has gastroenteritis. Which of the following assessment findings should the nurse report to the provider?

Pale and a 24-hr fluid deficit of 30 mL

Decreased appetite and irritability

Temperature 38° C (100.4° F) and pulse rate 124/min

Sunken fontanels and dry mucous membranes

Answer and Explanation

The Correct Answer is D

A.   A small fluid deficit of 30 mL is not concerning unless it worsens or additional symptoms develop.
B.   Decreased appetite and irritability can be expected with gastroenteritis and may not require immediate intervention.
C.   A mild fever and increased pulse rate can be expected, but if these values remain stable and other signs of dehydration or worsening illness are absent, they do not require immediate intervention.
D.   Sunken fontanels and dry mucous membranes are signs of dehydration and should be reported to the provider immediately.

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Correct Answer is C

Explanation

A. Increased intake of milk products can exacerbate symptoms of irritable bowel syndrome in some clients.
B. Fructose corn syrup can worsen symptoms and is not recommended for clients with IBS.
C. Foods high in bran fiber are often recommended for IBS as they can help with bowel regularity and reduce symptoms.
D. Gluten is not beneficial for IBS and should be avoided if the client has gluten sensitivity.

A. Shrimp salad and tomato soup with milk B. Scrambled eggs and toast with milk C. Ham sandwich with milk D. Bacon and cheese quiche with milk

Correct Answer is B

Explanation

A. Shrimp is not kosher, as shellfish is prohibited in kosher dietary laws.
B. Scrambled eggs and toast with milk is a permissible choice under kosher dietary laws, as eggs and dairy are allowed.
C. Ham is not kosher, and pork is strictly prohibited in kosher diets.
D. Bacon is not kosher, and combining meat and dairy is forbidden in kosher dietary traditions.

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A nurse is caring for an infant who has gastroenteritis. Which of the following assessment findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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