ATI RN
ATI Nur 270 Pediatrics GI GU Exam Questions
Extract:
An infant who has a 2-day history of vomiting and an elevated temperature
Question 1 of 5
A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?
Correct Answer: D
Rationale: The correct answer is D: Body weight. Body weight is the most reliable indicator of fluid loss in this scenario because infants have a limited ability to regulate their fluid balance. Monitoring daily weights can provide a quantitative measure of fluid loss or gain. Blood pressure, respiratory rate, and skin integrity can be affected by various factors and may not accurately reflect fluid loss. Blood pressure may not change until significant fluid loss has occurred, respiratory rate can be influenced by other conditions, and skin integrity may be affected by various skin conditions. In summary, body weight is the most direct and accurate indicator of fluid loss in infants.
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