The nurse is caring for an infant with gastroenteritis who is ...

[HudsonKB16]

The nurse is caring for an infant with gastroenteritis who is being treated for dehydration. The nurse reviews the health record and notes that the physician has documented that the infant is mildly dehydrated.
 
  Which of the following assessment findings would the nurse find in a child with mild dehydration? 1. Anuria
  2. Pale skin color
  3. Sunken fontanels
  4. Dry mucous membranes

Question 2

A client has been diagnosed with metabolic alkalosis as a result of excessive antacid use. The nurse should monitor this client, expecting to note which of the following signs and symptoms?
 
  1. Disorientation and dyspnea
  2. Decreased respiratory rate and depth
  3. Drowsiness, headache, and tachypnea
  4. Tachypnea, dizziness, and paresthesias

[ricroger]

Answer to Question 1

2

Rationale: Dry mucous membranes is an assessment characteristic of moderate dehydration. Anuria and sunken fontanels are assessment characteristics of severe dehydration. In mild dehydration the skin color is pale.

Answer to Question 2

2

Rationale: The client with metabolic alkalosis is likely to exhibit decreased respiratory rate and depth as a compensatory mechanism. The client with metabolic acidosis would display the symptoms noted in drowsiness, headache, and tachypnea. The client with respiratory acidosis and alkalosis would display the symptoms noted in disorientation and dyspnea and tachypnea, dizziness, and paresthesias respectively.

[HudsonKB16]

Excellent

[ricroger]

TYSM