A nurse is caring for an infant who has rotavirus.
Which of the following findings indicates that the infant is moderately dehydrated?

Respiratory rate 28/min.

Capillary refill 1 second.

Weight loss 7%.

Bradycardia.

Answer and Explanation

The Correct Answer is C

A weight loss of 7% indicates that the infant is moderately dehydrated.

Dehydration is classified as mild (3-5% weight loss), moderate (6-10% weight loss), or severe (>10% weight loss)1.

Choice A is wrong because a respiratory rate of 28/min is within the normal range for an infant.

Choice B is wrong because a capillary refill time of 1 second is within the normal range.

Choice D is wrong because bradycardia (a slow heart rate) is not a typical sign of moderate dehydration in infants.

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Correct Answer is C

Explanation

Continuous swallowing can be an indication of hemorrhage following a tonsillectomy and adenoidectomy.

This is because the child may be swallowing blood that is coming from the surgical site.

Choice A is wrong because a blood pressure of 95/56 mm Hg is within the normal range for a 5-year-old child.

Choice B is wrong because a heart rate of 54/min is within the normal range for a 5-year-old child.

Choice D is wrong because flushing of the face is not an indication of hemorrhage following a tonsillectomy and adenoidectomy.

A. "The medication isn't bad. It tastes like candy.” B. "Let me know when you want to take the medication.” C. "The medication will treat your hypersensitivity reaction.” D. "Sometimes, when a child has to take medication, they feel sad.”

Correct Answer is C

Explanation

This statement provides the child with factual information about the purpose of the medication and why it is important for them to take it.

Choice A is wrong because it may not be true that the medication tastes like candy and could lead to mistrust.

Choice B is wrong because it does not address the urgency of taking a stat dose of medication.

Choice D is wrong because it does not provide any information about the purpose of the medication and may not be relevant to the child’s feelings.

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A nurse is caring for an infant who has rotavirus. Which of the following findings indicates that the infant is moderately dehydrated?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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A nurse is caring for an infant who has rotavirus.
Which of the following findings indicates that the infant is moderately dehydrated?