RN Comprehensive Predictor 2023 Proctored Exam
A nurse is caring for an infant who has gastroenteritis. Which of the following assessment findings should the nurse report to the provider?
Explanation & Rationale
A. Incorrect – A 24-hour fluid deficit of 30 mL is mild and does not require immediate intervention. B. Incorrect – Decreased appetite and irritability are common with gastroenteritis but not as concerning as dehydration. C. Incorrect – A temperature of 38°C (100.4°F) and pulse of 124/min are mild and expected with infection. D. Correct – Sunken fontanels and dry mucous membranes are signs of dehydration, which is a major concern in gastroenteritis. Severe dehydration can lead to hypovolemic shock.
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