A child weighing 36 kg is in moderate dehydration. Calculate the amount of ORS this child will need within 4 hours in mL. (Do not enter units)
The Correct Answer is ["3600"]
Step-by-Step Calculation:
Step 1: Determine the amount of ORS needed per kg for moderate dehydration.
- Moderate dehydration requires 100 mL of ORS per kg.
Step 2: Calculate the total amount of ORS needed.
- Child’s weight = 36 kg
- Amount of ORS per kg = 100 mL
Step 3: Multiply the child’s weight by the amount of ORS per kg.
- 36 kg × 100 mL/kg = 3600 mL
Step 4: Convert the total amount of ORS from mL to cups.
- 1 cup = 240 mL
- Total ORS needed = 3600 mL
Step 5: Divide the total ORS needed by the amount of mL in one cup.
- 3600 mL ÷ 240 mL/cup = 15 cups
Summary:
The child will need 3600 mL (or 15 cups) of ORS within 4 hours.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
Offering peanut butter and water is not the best immediate action for treating hypoglycemia. Peanut butter is a protein-rich food that takes longer to digest and does not quickly raise blood sugar levels. Water does not contain any carbohydrates and will not help in raising blood sugar levels.
Choice B Reason:
Giving one tablespoon of ice cream is not the most effective way to treat hypoglycemia. While ice cream contains sugar, it also has fat, which slows down the absorption of sugar into the bloodstream. This delay can prevent the rapid correction of low blood sugar levels.
Choice C Reason:
Giving a hard candy lollipop to lick can provide some sugar, but it is not the most efficient method for quickly raising blood sugar levels. The amount of sugar in a lollipop may not be sufficient to correct hypoglycemia, and the slow consumption may delay the necessary rise in blood sugar.
Choice D Reason:
Providing 1/2 cup of juice followed by cheese with a cracker is the best action for treating hypoglycemia. Juice contains fast-acting carbohydrates that can quickly raise blood sugar levels. Following it with cheese and a cracker provides protein and fat, which help stabilize blood sugar levels and prevent them from dropping again.
Correct Answer is C
Explanation
Choice A reason:
Extracellular hyperglycemia refers to high blood sugar levels outside the cells. While hyperglycemia is a common feature of diabetic ketoacidosis (DKA), it is not the direct cause of the condition. DKA occurs when the body cannot use glucose for energy due to a lack of insulin, leading to the breakdown of fat and protein for energy, which produces ketones and causes acidosis.
Choice B Reason:
Hypoglycemia, or low blood sugar, is not associated with diabetic ketoacidosis. In fact, DKA is characterized by high blood sugar levels. Hypoglycemia is a separate condition that can occur in individuals with diabetes, particularly if they take too much insulin or skip meals.
Choice C Reason:
The use of fat and protein as an energy source is the primary mechanism behind diabetic ketoacidosis. When insulin is deficient, the body cannot utilize glucose for energy. As a result, it breaks down fat and protein to produce energy. This process generates ketones, which are acidic and lead to the development of ketoacidosis.
Choice D Reason:
Increased cellular metabolism of glucose is not related to diabetic ketoacidosis. In DKA, the problem is that cells cannot use glucose effectively due to a lack of insulin. Instead, the body resorts to breaking down fat and protein for energy, leading to the production of ketones and acidosis.
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