A nurse is collecting data from a 3-year-old child who has acute diarrhea and dehydration. Which of the following findings indicates that oral rehydration therapy has been effective?
Respiratory rate 24/min>
Urine specific gravity 1.015
Heart rate 130/min
Capillary refill greater than 3 seconds
The Correct Answer is B
A. Respiratory rate 24/min: While a normal respiratory rate is positive, it is not a primary marker of hydration status.
B. Urine specific gravity 1.015: A normal urine specific gravity indicates adequate hydration.
C. Heart rate 130/min: Tachycardia indicates ongoing dehydration or stress.
D. Capillary refill greater than 3 seconds: Prolonged capillary refill suggests inadequate perfusion and continued dehydration.
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Related Questions
Correct Answer is D
Explanation
A. Symptoms of UTI: While UTIs can cause secondary enuresis, this option does not define the condition of persistent bed-wetting since birth.
B. Gastroesophageal Reflux: This is unrelated to bed-wetting.
C. Regressing behavior: Regressive behavior applies to children who revert to bed-wetting after being continent, which defines secondary enuresis.
D. Primary enuresis: This refers to children who have never achieved nighttime dryness for an extended period.
Correct Answer is B
Explanation
A. Sodium 142 mEq/L: This is within the normal range for sodium (135–145 mEq/L) and does not indicate an immediate threat.
B. Potassium 2.5 mEq/L: This is critically low (normal range is 3.5–5.0 mEq/L), and hypokalemia can cause life-threatening cardiac arrhythmias.
C. Urine specific gravity 1.025: Although elevated, it is not as critical as severe hypokalemia.
D. Blood glucose 110 mg/dL: This is a normal glucose level and not a priority.
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