Difficulty: Medium
Average Score: 75%
Simulated
Passage / Scenario
An infant who is dehydrated.A nurse in an emergency department is assessing an infant who is dehydrated. Which of the following findings should the nurse expect?
Correct answer
D
Rationale
Correct Answer: D - Irritability
Rationale: Dehydration in infants can lead to irritability due to decreased fluid intake and electrolyte imbalance, causing discomfort and agitation. This is a common behavioral response in dehydrated infants. Tetany (A) is not a typical finding in dehydration but may occur in severe electrolyte imbalances. A slow, bounding pulse (B) is more indicative of fluid overload rather than dehydration. Decreased temperature (C) is not a common finding in dehydration unless severe. Other choices are not directly related to dehydration in infants.
Rationale: Dehydration in infants can lead to irritability due to decreased fluid intake and electrolyte imbalance, causing discomfort and agitation. This is a common behavioral response in dehydrated infants. Tetany (A) is not a typical finding in dehydration but may occur in severe electrolyte imbalances. A slow, bounding pulse (B) is more indicative of fluid overload rather than dehydration. Decreased temperature (C) is not a common finding in dehydration unless severe. Other choices are not directly related to dehydration in infants.