Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph
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. Sunken fontanels and dry mucous membranes indicate moderate to severe dehydration, a serious complication of gastroenteritis in infants. This requires prompt fluid replacement (oral or IV) to prevent hypovolemic shock. B. A mild fever and slightly elevated pulse are expected findings in gastroenteritis and not immediately concerning. C. Decreased appetite and irritability are common, mild symptoms of illness but not critical. D. A small fluid deficit (30 mL over 24 hours) is minimal in an infant and does not indicate severe dehydration.
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