Which is the best nursing response to give a parent about contacting the physician regarding a 4-month-old infant with diarrhea?
"Call the doctor immediately if the infant has a temperature greater than 100°F."
"The pediatrician should be contacted if the infant has two loose stools in an 8-hour period."
"Call your pediatrician if the infant has not had a wet diaper for 8 hours."
"Notify the pediatrician if the infant naps more than 2 hours."
The Correct Answer is C
Choice A reason: Fever is a concern, but it is not the most immediate sign of dehydration.
Choice B reason: While loose stools are a symptom of diarrhea, the frequency mentioned does not necessarily indicate an emergency.
Choice C reason: This is the correct choice. Lack of a wet diaper for 8 hours can indicate dehydration, which is an emergency in infants.
Choice D reason: Longer naps may not be directly related to diarrhea and do not warrant immediate contact with a pediatrician.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: This choice might not arouse suspicion as it could be a plausible accident involving siblings.
Choice B reason: This choice also might not arouse suspicion as accidents can happen when children are playing and not being watched closely.
Choice C reason: This choice is less likely to arouse suspicion as slipping on ice is a common accident.
Choice D reason: This is the correct choice. The statement may arouse suspicion because it suggests negligence, as the caregiver left the baby unattended in a potentially dangerous situation.
Correct Answer is D
Explanation
Choice A reason: While a high-pitched cry can be a sign of distress, it is not a specific indicator of increased intracranial pressure.
Choice B reason: Decreased movement in the lower extremities can indicate a neurological issue but is not a specific sign of increased intracranial pressure.
Choice C reason: Excessive wet diapers are not related to intracranial pressure.
Choice D reason: This is the correct choice. A bulging fontanel, especially when crying, can indicate increased intracranial pressure in an infant. It is important to monitor for other signs and symptoms as well.
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