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

Choice A rationale:

Asking the parent if they are willing to take new parenting classes is a closed-ended question that does not encourage open communication or exploration of the parent's coping mechanisms. It does not assess the parent's current strategies or provide an opportunity for them to express their concerns.

Choice B rationale:

Asking the parent what they do when their infant is fussy encourages open dialogue and allows the parent to share their coping mechanisms. It provides insight into the parent's current strategies for managing their infant's fussiness, which can guide the nurse in providing appropriate support and education.

Choice C rationale:

Asking if parenting is overwhelming on a bad day is a general question that may not yield specific information about the parent's coping mechanisms. It does not address the parent's strategies for managing their infant's fussiness or provide a clear understanding of their coping skills.

Choice D rationale:

Asking if parenting causes stress is a closed-ended question that may yield a yes or no response without exploring the parent's coping mechanisms in detail. It does not encourage the parent to elaborate on their experiences or provide specific information about their coping strategies.

Choice A rationale:

Heart rate is important to monitor but is not specific to the management of cystic fibrosis or the prescribed treatments mentioned in the exhibit. Monitoring heart rate is essential in various clinical situations, but it is not the focus here.

Choice B rationale:

WBC count, or white blood cell count, is a marker of infection or inflammation in the body. While it can be useful in assessing the overall health of a patient, it is not specific to cystic fibrosis or the prescribed treatments mentioned in the exhibit.

Choice C rationale:

HbA1c, or glycated hemoglobin, is a marker used in diabetes management to assess long-term blood sugar control. It is not relevant to cystic fibrosis or the medications prescribed in this case.

Choice D rationale:

Oxygen saturation is a crucial parameter to monitor in a child with cystic fibrosis, especially considering the respiratory complications associated with this condition. Low oxygen saturation levels can indicate respiratory distress, which needs prompt medical attention. Reporting any abnormal oxygen saturation values to the provider ensures timely intervention and appropriate management of the child's respiratory status.