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 ["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.
Correct Answer is C
Explanation
The correct answer is c. “My toes feel like they are sleeping and won’t wiggle when I tell them to.”
Choice A reason:
“Watch how well I blow these bubbles” is not a concerning statement. It indicates that the child is engaging in normal activities and is not experiencing any distress related to the cast or the injury.
Choice B Reason:
“My skin is so itchy under there” is a common complaint among children with casts. Itchiness can be managed with appropriate care, such as using a hair dryer on a cool setting to blow air under the cast. However, it is not an immediate cause for concern.
Choice C Reason:
“My toes feel like they are sleeping and won’t wiggle when I tell them to” is a concerning statement. This could indicate nerve compression or impaired circulation, which are serious complications that require immediate medical attention. Prompt evaluation is necessary to prevent permanent damage.
Choice D Reason:
“I was able to ride on the scooter with the PT person’s help” is not a concerning statement. It suggests that the child is participating in physical therapy and is able to move with assistance, which is a positive sign of recovery.
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