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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Limiting the use of mobility equipment is not recommended as it can lead to decreased mobility and increased joint stiffness.
Choice B reason: Massaging inflamed joints is not recommended as it can increase pain and inflammation.
Choice C reason: Substituting natural fruit juices for carbonated drinks is a healthy choice but does not directly address the management of gouty arthritis.
Choice D reason: This is the correct choice. Periodic liver function studies are important when taking medications like colchicine and indomethacin, which can affect liver function. Monitoring liver function helps ensure the safety of the medication regimen.
Correct Answer is A
Explanation
Choice A reason: This is the correct choice. If an orogastric tube fails to pass, it may indicate a blockage or abnormal connection, such as a tracheoesophageal fistula.
Choice B reason: Low birth weight can be associated with many conditions and is not specific to TEF.
Choice C reason: TEF is not typically visible without special imaging or procedures; it cannot be visually identified at delivery.
Choice D reason: Dry mouth and nares with little to no oral secretions could indicate other conditions and are not specific to TEF. TEF often presents with excessive oral secretions.
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