A client’s mother is worried about her child who has been diagnosed with moderate dehydration.
The nurse reassures the mother and explains the steps involved in fluid replacement for a dehydrated child.
Which of the following statements by the mother indicates a correct understanding of the nurse’s explanation?
“I understand that my child’s fluid replacement will be based on his age and weight.”.
“I understand that my child will receive electrolyte solutions or supplements as necessary.”.
“I understand that my child’s hydration status will be continuously assessed.”.
“I understand that the healthcare team will collaborate to ensure comprehensive care for my child.”..
The Correct Answer is C
“I understand that my child’s hydration status will be continuously assessed.”.
Choice A rationale:
While a child's age and weight may play a role in determining fluid replacement, this statement doesn't encompass the entire concept of managing dehydration.
Monitoring hydration status involves assessing clinical signs and symptoms, as well as ongoing evaluation.
Choice B rationale:
Electrolyte solutions and supplements are indeed part of the treatment for dehydration.
However, this statement doesn't reflect the comprehensive understanding of managing a dehydrated child, including continuous assessment of hydration status.
Choice C rationale:
This statement indicates a correct understanding.
Continuous assessment of a child's hydration status is essential in managing dehydration.
It allows healthcare providers to monitor the child's response to treatment and make necessary adjustments.
Choice D rationale:
Collaboration within the healthcare team is important, but this statement doesn't specifically address the understanding of fluid replacement and dehydration management.
The correct response is choice C because it highlights the critical aspect of continuous assessment, which is essential to ensure that the child's hydration status is being monitored effectively during treatment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
The client's statement, "This IV fluid will provide me with hydration and calories," is correct.
D10W contains 10% dextrose and is used to provide both hydration and calories to the patient.
Choice B rationale:
D10W would not help lower blood sugar levels.
In fact, it would increase blood sugar levels due to the high concentration of dextrose.
Choice C rationale:
D10W does not provide essential electrolytes, so the statement is incorrect.
It's primarily used for calorie supplementation and hydration.
Choice D rationale:
D10W would not help increase blood pressure.
While it can provide hydration, it does not contain medications or components specifically intended to increase blood pressure.
Correct Answer is A
Explanation
Choice A rationale:
“This fluid will help to increase your sodium levels which are currently too low.”.
The nurse should explain to the client that they are receiving Normal Saline (0.9% NaCl) to increase their sodium levels.
This is The correct choice because Normal Saline is a hypertonic solution containing 154 mEq/L of sodium and 154 mEq/L of chloride.
It is used in cases of hyponatremia to raise sodium levels.
Sodium is an essential electrolyte, and low levels can lead to symptoms such as weakness, confusion, and muscle cramps.
Choice B rationale:
“This fluid will help to decrease your sodium levels which are currently too high.”.
Normal Saline is a hypertonic solution that would not be used to lower sodium levels, as it would have the opposite effect and further elevate sodium levels.
Choice C rationale:
“This fluid will help to increase your potassium levels which are currently too low.”.
It is not used to increase potassium levels, and potassium replacement would require a different solution, such as potassium chloride.
Choice D rationale:
“This fluid will help to decrease your potassium levels which are currently too high.”.
Normal Saline does not address high potassium levels; it is used to address hyponatremia and dehydration by increasing sodium levels.
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