Okay, since my inclex book is right here, I'll throw a ? in.

Students General Students

Published

Hi,

I just turned to this page and looked at this question so here it is if you'd like to answer: :)

A clinic nurse is assessing a child for dehydration. The nurse determines that the child is moderately dehydrated if which symptom is noted on assessment:

1. Flat fontanels

2. Moist mucous membranes

3. Pale skin color

4. Oliguria

DenaInWyo

141 Posts

I'll take a stab at it: D, Oliguria. A and B are normal findings, and I'm not sure that skin color is an indicator of dehydration.

But then again..:chuckle

BTW..this reminds me of the silly way my study buddies and I remembered oliguria last semester.

Oleo (margarine for you young 'uns) costs less than butter. *Oli*guria = less

less than normal urine output. Hey, whatever makes ya remember it!

AuntMeggie

47 Posts

I'm also gonna guess oliguria.

grinnurse, RN

767 Posts

Specializes in Med/Surge.

#4 b/c none of the other would cause dehydration or show signs of dehydration.

Specializes in PeriOp, ICU, PICU, NICU.

4. Oliguria

Specializes in PeriOp, ICU, PICU, NICU.

:w00t: 1 day till graduation:smiley_aa But who's counting???

CONGRATULATIONS BY THE WAY :Melody: :balloons:

Specializes in LTC.
Hi,

I just turned to this page and looked at this question so here it is if you'd like to answer: :)

A clinic nurse is assessing a child for dehydration. The nurse determines that the child is moderately dehydrated if which symptom is noted on assessment:

1. Flat fontanels

2. Moist mucous membranes

3. Pale skin color

4. Oliguria

You guys are good, the answer is #4! Okay, here's the rationale: :)

In moderate dehydration, the fontanels would be slightly sunken, the mucous membranes would be very dry, and the skin color would be dusky. In moderate dehydration, oliguria would be present.

Fiona59

8,343 Posts

For nurses yes. Here's a true story.

3yo male admitted to ER with a MD covering letter. Asthma attack one week earlier. Pale, fevered, rigid abdomen, laboured breathing, nil by mouth for 24 hours. GP thought it might be appendicitis.

Chest xray done. Diagnosis by ER doc. CONSTIPATION!!!

Nurse requests an IV order due to tissue turgor, older doc, looks at film. Explains to Mum child being admitted as soon a pediatric bed found. Turns out the child has a chest full of pnuemonia.

So, yup the child was constipated but Mum was glad she held her ground and told Doc #1 do an enema and then I'll take him home. Only reason Doc #2 arrived was #1 found Mum to be "a fussy mother who won't listen to me"

Pocamom

60 Posts

I have to say #4 oliguria. Because when someone is moderately dehydrated their urine is darkand scant.

Moist membranes is oposite of dehyration. Fontanells would be depressed if this was an infant dehydrated. Pale skin does not fit this scenerio.

:)

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