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 B
Explanation
This helps to keep the urine collection bag in place while the infant is active.
Choice A is wrong because the opening of the bag should be positioned over the urethra only, not over both the urethra and anus.
Choice C is wrong because there is no need to apply lidocaine gel to the perineum before attaching the bag.
Choice D is wrong because there is no need to stretch the perineum taut when applying the bag.
Correct Answer is A
Explanation
Oral sucrose solution has been shown to have analgesic effects and can help reduce pain and discomfort in infants during procedures such as immunizations.
Choice B is wrong because Use a 20-gauge needle for the injections is not an answer because a 20-gauge needle is larger than the recommended size for infant immunizations.
Choice C is wrong because Apply eutectic mixture of local anesthetics (EMLA) cream immediately before the injections is not an answer because EMLA cream needs to be applied at least 1 hour before the procedure to be effective.
Choice D is wrong because Inject the immunizations into the deltoid muscle is not an answer because the deltoid muscle is not recommended for infants under 12 months of age.
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