A 7-year-old patient is admitted with vomiting and diarrhea of 3 days' duration. The patient is started on IV therapy. A sign that he is receiving too much or too rapid IV fluid, when compared with previous data would be:
sudden vomiting
very rapid pulse rate
decreasing urine output
full, bounding pulse
The Correct Answer is D
A. sudden vomiting: Could indicate many issues, but not specific to fluid overload.
B. very rapid pulse rate: Tachycardia is common in dehydration, not overload.
C. decreasing urine output: This is more consistent with dehydration or kidney dysfunction.
D. full, bounding pulse: This is a sign of circulatory overload, along with other symptoms like edema or pulmonary congestion.
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Related Questions
Correct Answer is C
Explanation
A. Produce more carbonic acid: Hyperventilation reduces carbonic acid levels, not increases it.
B. Retain carbon dioxide: Rapid breathing eliminates, not retains, CO₂.
C. Get rid of excess carbon dioxide: Hyperventilation is a compensatory mechanism to eliminate CO₂ and correct acidosis.
D. Lower the blood pH level: Removing CO₂ actually raises the blood pH.
Correct Answer is D
Explanation
A. Decrease: ADH would increase to help retain water.
B. Not be affected: Fluid loss stimulates ADH secretion.
C. Stay the same: It changes in response to dehydration.
D. Increase: ADH is secreted to conserve water during dehydration caused by vomiting and diarrhea.
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