Nurses caring for children with gastrointestinal conditions must be aware of the signs and symptoms of moderate dehydration. Which of the following is NOT a sign of moderate dehydration?

Correct Answer: D

Rationale: Moderate dehydration includes 5-10% weight loss , capillary refill >2 seconds , and sunken fontanel . Moderate thirst is mild dehydration; severe thirst occurs in moderate cases.

Correct Answer: A

Rationale: Early shock features oliguria, not polyuria , due to decreased perfusion. Hypotension , hypovolemia , and mental changes are typical.

Correct Answer: C

Rationale: Hypospadias, a urethral opening defect, requires surgical repair before 18 months (C) for optimal outcomes. It doesn’t self-correct (A), preschool age (B) is too late, and repair doesn’t increase cancer risk (D). Document: 'Treatment for hypospadias consists of surgical repair… usually performed before 18 months.'

Correct Answer: C

Rationale: Levothyroxine should be given consistently at the same time daily, ideally morning (C), for steady thyroid levels. Stopping (A), skipping (B), or switching brands (D) disrupts efficacy. Document: 'Synthroid should be given at the same time each day, preferably in the morning.'

Correct Answer: A

Rationale: Acute glomerulonephritis often follows a streptococcal sore throat (A) 1-3 weeks prior, causing an immune response. Allergies (B), dysuria (C), or fractures (D) are unrelated. Document: 'Acute glomerulonephritis develops… after a streptococcal infection.'