Hector Jimenez-Walker is a 6-week-old infant, born at 39 weeks gestation, normal vaginal delivery with no complications, who presented to the emergency department with his parents. Parents report the infant has had frequent vomiting after feeding for the past week. They notified their pediatrician about the vomiting, and despite following pediatrician’s recommendations to keep him upright after feeding and burping often, the vomiting has increased in volume and become more projectile. The parents report the infant is irritable and their last wet diaper was 6 hours ago. Vital signs are temperature 37.9deg C (100.2deg F), heart rate 164/min, respirations 35/min, blood pressure 85/50 mm Hg. Current weight is 4.37 kg (9 lb 10 oz), birth weight was 3.7 kg (8 lb 2 oz). On assessment, the infant is lethargic, has a weak cry with no tears, and mucous membranes are dry. The nurse is reviewing the information received in report and the infant’s electronic medical record.Which of the following concerns should the nurse address while providing client care? (Select all that apply.)Safety: Injury preventionHealth Promotion: Client EducationPhysiological: InfectionPhysiological: Cellular regulationPhysiological: ImmunityPhysiological: ComfortSafety: Home environmentPhysiological: Cellular regulationPhysiological: ImmunityPhysiological: ComfortSafety: Home environmentPhysiological: Tissue IntegrityPhysiological: MobilityPhysiological: Elimination
[Answered]: Hector Jimenez-Walker is a 6-week-old infant, born…
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