The mother of the 7-week-old infant reports the baby has had fewer and fewer wet diapers and hasn’t stooled in 3 days despite having a ravenous appetite. The mother reports that the child has been vomiting with increasing force and volume over the past two weeks. The emesis just appears to be partially digested breastmilk and fluid. The infant appears well, but mucous membranes are dry, the child has a low-grade fever, and is tachycardic. Upon palpation of the abdomen, a small, olive-shaped mass is appreciated. A serum electrolyte panel reveals a sodium of 132, potassium of 2.7, chloride of 89, and a glucose of 92. The nurse performs which nursing action first?
- NCLEX Practice
- Categories
- Physiological Adaptation
- View Question
- Category: Physiological Adaptation
- Difficulty: 9
Want help? View the answer with rationale.
Additional Physiological Adaptation Questions
- Question Type: Multiple Choice - Select One
- Difficulty: 9
An individual calls the nurse line to report his friend has been bitten by a water moccasin snake on the hand. Which statement by the individual requires correction by the nurse?
- Question Type: Multiple Choice - Select One
- Difficulty: 9
A 16-year-old boy is brought to the clinic by his mother with complaints of strange noises and movements. The boy states, “I can’t stand that I make this weird noise with my mouth. I can feel it coming, and I try to stop it for as long as I can, but eventually it just comes out. The other kids at school make fun of me. It’s so embarrassing.” The mother reports that the boy gets good grades and has no trouble concentrating at home when doing homework. Which information does the nurse give the patient and his mother about the medication he will be prescribed?
- Question Type: Multiple Choice - Select One
- Difficulty: 10
0