Difficulty: Medium
Average Score: 70%
Simulated
Passage / Scenario
An infant admitted with dehydration.The nurse is reviewing the intake and output record from the previous 8 hours for an infant admitted with dehydration. Based on the information in the chart, what does the nurse determine about this patient during the 8-hour shift?
Correct answer
A
Rationale
Rationale: The correct answer is A because dehydration is indicated by an imbalance between fluid intake and output. In an infant admitted with dehydration, the nurse would expect to see decreased urine output and increased concentration of urine on the intake and output record. This indicates that the patient is not adequately hydrated.
Summary:
- Choice B is incorrect because the patient is not improving as anticipated if dehydration is present.
- Choice C is incorrect as fluid volume excess would show increased urine output and diluted urine, which is opposite to the signs of dehydration.
- Choice D is incorrect as stable condition would not show signs of dehydration.
Summary:
- Choice B is incorrect because the patient is not improving as anticipated if dehydration is present.
- Choice C is incorrect as fluid volume excess would show increased urine output and diluted urine, which is opposite to the signs of dehydration.
- Choice D is incorrect as stable condition would not show signs of dehydration.