A nurse is admitting a 6-month-old infant who has dehydration.
Which of the following amounts of urinary output should indicate to the nurse that the treatment has corrected the fluid imbalance?
0.5 mL/kg/hr.
15 mL/kg/hr.
2 mL/kg/hr.
7.5 mL/kg/hr.
The Correct Answer is C
The correct answer is C. 2 mL/kg/hr.
Choice A rationale: An output of 0.5 mL/kg/hr is insufficient and indicative of ongoing dehydration or inadequate fluid intake.
Choice B rationale: An output of 15 mL/kg/hr is excessive and could suggest overhydration or a different pathology.
Choice C rationale: A urinary output of 2 mL/kg/hr is an ideal measure for indicating that fluid balance has been restored in infants.
Choice D rationale: An output of 7.5 mL/kg/hr is unusually high and not typical for a corrected fluid balance in infants.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Adolescents affected by scoliosis often experience body image dissatisfaction.
Therefore, the nurse should anticipate body image changes as the most common reaction.
Choice B is not correct because loss of privacy is not the most common reaction
when dealing with scoliosis surgery.
Choice C is not correct because feelings of displacement are not the most
common reaction when dealing with scoliosis surgery.
Choice D is not correct because identity crisis is not the most common reaction
when dealing with scoliosis surgery.
Correct Answer is B
Explanation
A cerebral palsy is a group of disorders that affect movement and muscle tone or posture.
It’s caused by damage that occurs to the immature, developing brain, most often before birth.
Signs and symptoms appear during infancy or preschool years.
In general, cerebral palsy causes impaired movement associated with exaggerated reflexes, floppiness or spasticity of the limbs and trunk, unusual posture, involuntary movements, unsteady walking, or some combination of these.
An 8-month-old infant with cerebral palsy may have developmental delays and may require pillow props to sit up.
Choice A, Tracking an object with eyes, is a normal developmental milestone for
an infant.
Choice C, Uses a pincer grasp to pick up a toy, is also a normal developmental
milestone for an infant.
Choice D, Smiles when a parent appears, is also a normal developmental milestone for an infant.
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