A nurse is assisting in the care of a preschool aged child in the emergency department.
Complete the following sentence by using the list of options.
The nurse should anticipate a provider prescription for an
The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"D"}
Correct answers: IV fluid bolus and electrolyte replacement
IV fluid bolus: The child shows signs of dehydration (dry mucous membranes, sluggish skin recoil, dark urine, tachycardia).
Electrolyte replacement: The child has hypokalemia (K = 3.2 mEq/L), which needs correction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Increased respiratory rate: Dehydration can cause compensatory tachypnea to offset metabolic acidosis.
B. Increased platelet count: Dehydration typically affects fluid balance but does not directly increase platelet count.
C. Decreased hematocrit: Dehydration often causes hemoconcentration, leading to an increased hematocrit.
D. Decreased heart rate: Dehydration usually causes tachycardia, not bradycardia.
Correct Answer is D
Explanation
A. "The operation will straighten out the kink in the intestine.": Hirschsprung’s disease involves a lack of nerve cells in the colon, not a physical kink.
B. "I want to learn how to use the feeding tube as soon as possible.": Feeding tubes are not a standard part of treatment for Hirschsprung’s disease.
C. "I’m glad my child will have bowel movements now.": While the surgery will help bowel function, the initial goal is creating an ostomy to divert stool.
D. "I’m glad that the ostomy is only temporary.": The initial surgery often involves a temporary ostomy to allow the colon to heal before definitive repair.
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