When assessing an infant with moderate dehydration, a nurse would expect which assessment findings?

Fever and hypertension.

Increased specific gravity.

Tachypnea and tachycardia.

Bulging posterior fontanel.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Fever and hypertension are not typical findings in moderate dehydration. Dehydration often leads to hypotension rather than hypertension, and fever is not a direct consequence of dehydration.

Choice B rationale:

Increased specific gravity can be a sign of dehydration, but it is not as specific or sensitive as tachypnea (rapid breathing) and tachycardia (elevated heart rate), which occur due to the body's compensatory mechanisms in response to dehydration.

Choice C rationale:

Tachypnea and tachycardia are key indicators of moderate dehydration in infants. The body tries to maintain perfusion by increasing the heart rate and respiratory rate. These signs are more reliable indicators of dehydration than specific gravity or fever.

Choice D rationale:

Bulging posterior fontanel is not a typical finding in dehydration. A sunken fontanel might be more indicative of dehydration, as fluid shifts from the intracellular to the extracellular space.

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Correct Answer is ["A","B"]

Explanation

Choice A:
Hypoplastic left heart syndrome - Decreased pulmonary blood flow.
Choice B:
Tetralogy of Fallot - Obstruction to blood flow.
Choice C rationale:
Atrial Septal Defect is incorrectly matched with its hemodynamic classification. ASD results in increased pulmonary blood flow due to the shunting of oxygenated blood from the left atrium to the right atrium.
Choice D rationale:
Aortic Stenosis is again not accurately matched. Aortic stenosis causes obstruction to blood flow from the left ventricle to the aorta, impacting systemic circulation.

A. "I will not take medications in front of my child.”. B. "I will keep all my medications in my purse.”. C. "We will safety-proof the grandparents' house.”. D. "We will put locks on all of our cabinet doors at home.".

Correct Answer is B

Explanation

Choice A rationale:

The statement "I will not take medications in front of my child”. is correct. Caregivers should avoid taking medications in front of children to prevent them from mimicking the behavior, as some medications can be harmful if ingested accidentally.

Choice B rationale:

The statement "I will keep all my medications in my purse”. is incorrect. Keeping medications in a purse or easily accessible place poses a risk of accidental ingestion by the child. Medications should be stored out of reach and in child-resistant containers.

Choice C rationale:

The statement "We will safety-proof the grandparents' house”. is correct. Safety-proofing the environment is important to prevent accidental poisoning. This statement demonstrates caregiver awareness of potential risks in another household.

Choice D rationale:

The statement "We will put locks on all of our cabinet doors at home”. is correct. Locking cabinet doors is a preventive measure to keep children away from potentially harmful substances, showcasing the caregiver's understanding of safety precautions.

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When assessing an infant with moderate dehydration, a nurse would expect which assessment findings?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is ["A","B"]

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Explanation

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