NCLEX-PN

Category - Physiological Adaptation

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An infant is admitted to the facility due to frequent vomiting after feedings. The child is diagnosed with gastroesophageal reflux disease. Which of the following is the nurse’s priority assessment when caring for the client?

Weight
Urinary output
Stool characteristics
Temperature

Explanation

Answer: A - An infant with gastroesophageal reflux disease is at risk for failure to thrive. The nurse’s priority assessment is to obtain the child’s weight to determine if the food consumed are adequately retained and absorbed. The other assessments are also done, but obtaining the child’s weight is a priority.

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