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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)

Answer and Explanation

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.

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Free Nursing Study Resources

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

Explanation

The correct answer is

A. Waddling gait

B. Kyphosis

C. Lordosis

D. Scoliosis

E. Gower sign

Choice A reason

Waddling gait: Children with Duchenne muscular dystrophy (DMD) often exhibit a waddling gait due to progressive muscle weakness, particularly in the pelvic girdle muscles. This gait pattern is a compensatory mechanism to maintain balance and mobility despite weakened muscles. The waddling gait is one of the early signs of DMD and typically becomes noticeable between the ages of 2 and 6 years.

Choice B Reason

Kyphosis: Kyphosis, an excessive outward curvature of the spine, can develop in children with DMD as the disease progresses. Muscle weakness and imbalance, particularly in the back muscles, contribute to this spinal deformity. Kyphosis can lead to discomfort, respiratory issues, and further mobility challenges, necessitating close monitoring and intervention.

Choice C Reason

Lordosis: Lordosis, an exaggerated inward curvature of the lower spine, is another common finding in children with DMD. This condition often develops as a compensatory mechanism to maintain an upright posture despite weakened hip and thigh muscles. Lordosis can cause lower back pain and impact overall posture and gait.

Choice D Reason

Scoliosis: Scoliosis, a lateral curvature of the spine, frequently occurs in children with DMD due to progressive muscle weakness and imbalance. As the disease advances, scoliosis can become more pronounced, leading to discomfort, respiratory complications, and further functional limitations. Early detection and management are crucial to mitigate these effects.

Choice E Reason

Gower sign: The Gower sign is a classic clinical indicator of DMD. It refers to the maneuver children with DMD use to rise from the floor, involving the use of their hands to “walk” up their legs due to proximal muscle weakness. This sign is typically observed in early childhood and is a key diagnostic feature of DMD1.

A. Diffuse fibrin deposition in the microvasculature B. Deficiency in the production rate of globin chains C. An excessive destruction of platelets D. Bone marrow failure in which all elements are suppressed

Correct Answer is C

Explanation

The correct answer is c. An excessive destruction of platelets.

Choice A: Diffuse fibrin deposition in the microvasculature

Diffuse fibrin deposition in the microvasculature is not characteristic of immune thrombocytopenia (ITP). This description is more aligned with disseminated intravascular coagulation (DIC), a condition where widespread clotting occurs within the blood vessels, leading to multiple organ damage.

Choice B: Deficiency in the production rate of globin chains

A deficiency in the production rate of globin chains is associated with thalassemia, a genetic blood disorder that affects the production of hemoglobin. This is not related to the pathology of immune thrombocytopenia.

Choice C: An excessive destruction of platelets

An excessive destruction of platelets is the hallmark of immune thrombocytopenia (ITP). In ITP, the immune system mistakenly targets and destroys platelets, which are essential for blood clotting. This leads to a low platelet count and an increased risk of bleeding.

Choice D: Bone marrow failure in which all elements are suppressed

Bone marrow failure in which all elements are suppressed is characteristic of aplastic anemia, a condition where the bone marrow fails to produce sufficient blood cells. This is not related to immune thrombocytopenia.

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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)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which assessment findings should the nurse note in a school-age child with Duchenne muscular dystrophy (DMD)? (Select all that apply)

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

Explanation

Which describes the pathology of immune thrombocytopenia?

Correct Answer is C

Explanation

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