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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Incorrect because the bag should only cover the urethral opening. Covering the anus risks contamination of the urine sample.
B.Incorrect because placing a diaper over the bag can dislodge it or prevent proper adhesion. Instead, the bag should remain exposed to adhere well.
C.Incorrect because lidocaine is unnecessary; applying topical anesthetic is not required for urine collection with a bag.
D. When collecting a urine specimen from a female infant using a urine collection bag, the nurse should ensure the perineal area is clean and the skin is dry. Stretching the perineum taut helps the bag adhere properly to the skin around the urethral opening, preventing leaks and contamination of the specimen.
Correct Answer is B
Explanation
Scabies is a highly contagious skin condition caused by mites and can spread easily through close physical contact.
It is important to treat everyone who came into close contact with the child to prevent reinfestation.
Choice A is wrong because ketoconazole shampoo is used to treat fungal infections of the scalp, not scabies.
Choice C is wrong because while it is important to clean combs and brushes, soaking them in boiling water for 10 minutes may not be necessary.
Choice D is wrong because petroleum jelly is not an effective treatment for scabies.
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