Practice Quiz

CCRN Critical Care Nursing

Category - Pediatrics

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A 7-week-old infant was admitted after 2 days of vomiting. She was diagnosed of hypertrophic pyloric stenosis. The nurse at the emergency room knows that the most important nursing assessment is the:
  1. amount, frequency, amd character of vomiting.
  2. amount of milk and water taken at the time of last feeding
  3. presence of olive shaped mass in the hypogastric area
  4. amount and color of urine, skin turgor and respirations
Explanation
Answer: D - If an infant has dark scanty urine, poor skin turgor, and increased depth of respirations then dehydration and metabolic alkalosis are present. It happens due to fluid and hydrochloric acid loss and the depletion of Potassium.
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