Evolve: Dehydration Questions and answers

1) Which assessment findings would lead the nurse to believe that Loc is moderately dehydrated? a. Rectal temperature of 99 F, heart rate of 120 bpm , Anna respiratory rate of 28 b. capillary refill of four seconds, dry mucous membranes, and heart rate of 160 bpm c. warm to the touch skin, rectal temperature of 100 F, and blood pressure 100 / 60 d. Two wet diapers within the past eight hours, +three edema of feet, and a respiratory rate of 30 - ANSWER-b. capillary refill of four seconds, dry mucous membranes, and heart rate of 160 bpm Rationale: Common signs of dehydration in infants include slow capillary refill, dry mucous membranes, poor skin turgor, pale color, decreased urinary output, normal to low blood pressure, and normal to high heart rate 2) To obtain more information about his current status, which questions are priority for the nurse to ask the mother? Select all that apply a. does Loc have any siblings? b. Have you offered Loc fluids other than formula? c. What was Loc's last weight? d. has Loc completed all his immunizations? e. How many hours does Loc normally sleep each day? - ANSWER-b. Have you offered Loc fluids other than formula? c. What was Loc's last weight? Rationale: If the infant is not taking formula, clear liquid replacement fluids would help to maintain hyd