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 A

A. A respiratory rate of 28 breaths per minute indicates increased respiratory effort, which can be a sign of moderate dehydration. The infant may be trying to compensate for fluid
loss.

B. Capillary refill of 1 second is within the normal range (less than 2 seconds). It is not indicative of moderate dehydration.

C. Weight loss of 7% is a significant amount of weight loss and is indicative of severe dehydration, not moderate dehydration. Moderate dehydration is usually defined as 5- 10% weight loss.

D. Bradycardia (slow heart rate) is not typically associated with dehydration. In fact, tachycardia (fast heart rate) is a more common sign of dehydration.

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Correct Answer is B

Explanation

A. Absent nuchal rigidity is a positive sign in the context of managing bacterial
meningitis, but it alone does not determine when droplet precautions can be discontinued.

B. This is the correct answer. A negative cerebrospinal fluid (CSF) culture indicates that the bacterial infection has been effectively treated. Once the CSF culture is negative, the child is no longer considered contagious and can be removed from droplet precautions.

C. The initiation of antibiotics is an important step in treating bacterial meningitis, but the passage of time alone does not indicate when precautions can be discontinued. The
effectiveness of treatment is better determined by laboratory and clinical indicators.

D. The temperature is an important clinical parameter, but a temperature below 37.4° C (99.3° F) alone does not determine when droplet precautions can be discontinued. The decision is based on the resolution of the infectious process, as indicated by negative cultures.

A. Gonorrhea B. Bacterial vaginosis trichomoniasis C. Genital herpes simplex virus D. Human papilloma virus

Correct Answer is A

Explanation

A. Gonorrhea is a nationally notifiable sexually transmitted infection (STI). This means that healthcare providers are required to report cases of gonorrhea to public health authorities to track and monitor the spread of the disease.

B. Bacterial vaginosis and trichomoniasis are common STIs but are not nationally notifiable.

C. Genital herpes simplex virus is a common STI but is not nationally notifiable.

D. Human papillomavirus (HPV) is a common STI, but it is not nationally notifiable.
However, HPV vaccines are recommended to prevent certain strains of the virus that can cause cervical cancer.

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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?

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Naxlex Comprehensive Predictor Exams

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