A client’s parent asks a nurse about how they can prevent their child from becoming dehydrated again in future.
Which of the following advice should be given by the nurse?
Ensure appropriate fluid intake based on age and weight.
Monitor for signs of dehydration such as dry mucous membranes and decreased urine output.
Encourage consumption of electrolyte solutions during periods of illness.
All these measures are necessary to prevent dehydration in children.
The Correct Answer is D
Choice A rationale:
Ensure appropriate fluid intake based on age and weight.
Rationale: This is an essential piece of advice to prevent dehydration in children.
Proper fluid intake based on age and weight helps maintain hydration.
However, it's not the only advice that should be given.
Choice B rationale:
Monitor for signs of dehydration such as dry mucous membranes and decreased urine output.
Rationale: Monitoring for signs of dehydration is crucial, but it's not the only preventive measure.
Detecting dehydration early is important for timely intervention, but proactive prevention is also necessary.
Choice C rationale:
Encourage consumption of electrolyte solutions during periods of illness.
Rationale: Encouraging the consumption of electrolyte solutions during illness is a valuable piece of advice, especially when children may lose fluids due to vomiting or diarrhea.
However, it's not the only preventive measure.
Choice D rationale:
All these measures are necessary to prevent dehydration in children.
Rationale: This is The correct answer.
Preventing dehydration in children involves a combination of measures, including ensuring appropriate fluid intake, monitoring for signs of dehydration, and encouraging electrolyte solutions during illness.
All these measures work together to keep a child well-hydrated and prevent dehydration.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Normal saline (0.9% NaCl).
Choice A rationale:
Normal saline (0.9% NaCl) is the most appropriate choice for a client with burns and hypovolemia.
This isotonic solution helps to restore intravascular volume and replace lost fluids.
It contains sodium chloride in a concentration similar to that of the body's extracellular fluid, making it effective for rehydration and replenishing electrolytes in hypovolemic patients.
Choice B rationale:
Half normal saline (0.45% NaCl) is a hypotonic solution with a lower sodium concentration than the body's extracellular fluid.
It is not the best choice for treating hypovolemia and burns because it may not effectively expand intravascular volume and may cause cellular swelling.
Choice C rationale:
Lactated Ringer's is an isotonic solution, but it contains additional electrolytes and lactate.
While it can be suitable for some fluid replacement needs, normal saline is preferred for burn patients because it has a simpler composition and is effective for volume resuscitation in cases of hypovolemia.
Choice D rationale:
D5W (5% dextrose in water) is a solution that primarily provides dextrose for energy, not suitable for hypovolemia and burns.
It can cause dilutional hyponatremia if used as the primary fluid in hypovolemic patients.
Correct Answer is B
Explanation
Choice A rationale:
"Height and weight.”.
Rationale: While monitoring height and weight is important for a child's growth and development, these parameters are not the primary vital signs to assess dehydration.
Dehydration assessment focuses on immediate physiological indicators, such as heart rate and blood pressure.
Choice B rationale:
"Heart rate and blood pressure.”.
Rationale: This is The correct answer.
When assessing a dehydrated child, monitoring vital signs such as heart rate and blood pressure is crucial.
Dehydration can lead to an increased heart rate and decreased blood pressure.
These parameters provide valuable information about the child's circulatory status and fluid balance.
Choice C rationale:
"Hair and eye color.”.
Rationale: Hair and eye color are not relevant parameters for assessing dehydration.
They are genetic traits and do not change in response to dehydration.
Choice D rationale:
"Shoe size and clothing size.”.
Rationale: Shoe size and clothing size are not relevant for assessing dehydration.
These measurements are related to a child's growth and body structure but do not provide information about their hydration status.
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