A 3-year-old child is admitted to a pediatric unit with moderate dehydration.
The nurse would expect to see which of the following assessment findings in this child?

Pulse of 160, oliguria, sunken fontanels, and an admission weight of 30 lbs.

Pulse of 180, furrowed tongue, mottled skin, and an admission weight of 28 lbs.

Pulse of 120, dry mucous membranes, pale, and an admission weight of 30.2 lbs.

Pulse of 150, poor skin turgor, oliguria, and an admission weight of 29.5 lbs.

Answer and Explanation

The Correct Answer is D

Answer: D. Pulse of 150, poor skin turgor, oliguria, and an admission weight of 29.5 lbs. Rationale:

Choice A: A pulse of 160 is slightly elevated for a 3-year-old (normal range is 90-140 bpm), but not significantly so. Oliguria (decreased urine output) is a common sign of dehydration. However, sunken fontanels are typically seen in infants with severe

dehydration and not necessarily present in moderate cases. An admission weight of 30 lbs is irrelevant for assessing dehydration.

Choice B: A pulse of 180 is significantly elevated and suggests potential tachycardia, which can be a sign of severe dehydration or other underlying conditions. While a furrowed tongue can occur with dehydration, it's not specific enough. Mottled skin can be caused by various factors and isn't a definitive sign of moderate dehydration.

Admission weight alone isn't indicative of dehydration.

Choice C: A pulse of 120 is within the normal range for a 3-year-old. Dry mucous membranes are a common sign of dehydration. However, pale skin can be caused by various factors and isn't specific to dehydration. Admission weight alone isn't indicative of dehydration.

Choice D: A pulse of 150 is slightly elevated, potentially indicating dehydration or other factors. Poor skin turgor is a key assessment finding in moderate dehydration. It refers to the skin's slow return to its original shape after being pinched, indicating a lack of fluid. Oliguria is a common sign of dehydration, suggesting decreased fluid intake or output. An admission weight of 29.5 lbs might be slightly lower than the child's baseline weight due to dehydration, but weight alone shouldn't be used to diagnose dehydration.

Therefore, considering the combination of a slightly elevated pulse, poor skin turgor, oliguria, and a potential decrease in weight, choice D presents the most likely assessment findings in a child with moderate dehydration.

It's important to remember that a comprehensive assessment, including history, physical examination, and potentially laboratory tests, is crucial for diagnosing and classifying the severity of dehydration in children.

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Correct Answer is ["A","C","D"]

Explanation

Choice A rationale

Albuterol is a bronchodilator, which means it works by relaxing the muscles around the airways in the lungs. This allows the airways to open up, making it easier for the child to breathe.

Choice C rationale

Albuterol can help reduce wheezing, a common symptom of asthma. Wheezing occurs when the airways are narrowed or blocked, causing a whistling sound when the child breathes. By opening the airways, albuterol can help alleviate this symptom.

Choice D rationale

Albuterol can also decrease coughing and shortness of breath, two other common symptoms of asthma. By improving airflow in the lungs, albuterol can help the child breathe more easily and comfortably.

A. “The average daily intake should be about 3,000 calories.”. B. “The quality of food I provide him is more important than the quantity.”. C. “I should expect him to have an increased appetite.”. D. “Because he is such a picky eater, I will give him one of my vitamins each day.”. .

Correct Answer is B

Explanation

Choice A rationale

An average daily intake of about 3,000 calories is too high for a toddler. The recommended caloric intake for a toddler varies depending on age, size, and activity level, but it is generally much lower than 3,000 calories.

Choice B rationale

“The quality of food I provide him is more important than the quantity.”. This statement indicates an understanding of the teaching. It’s important to focus on providing nutrient-dense foods rather than just a large quantity of food.

Choice C rationale

Expecting an increased appetite in a toddler is not necessarily accurate. Toddlers often have variable appetites and may eat well one day and eat very little the next.

Choice D rationale

Giving a toddler an adult vitamin is not recommended. Toddlers have different nutritional needs than adults, and some vitamins and minerals can be harmful in large amounts. It’s better to focus on providing a balanced diet.

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A 3-year-old child is admitted to a pediatric unit with moderate dehydration.The nurse would expect to see which of the following assessment findings in this child?

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A 3-year-old child is admitted to a pediatric unit with moderate dehydration.
The nurse would expect to see which of the following assessment findings in this child?