A nurse is calculating the output of an infant admitted who has dehydration. When weighing the diaper, the nurse should equate 1 g of wet diaper weight to which of the following amounts of urine?
30 mL
1 mL
15 mL
5 mL
The Correct Answer is B
A. 30 mL: Incorrect. This is far too high; it does not correspond to typical urine output.
B. 1 mL: Correct. It is a standard practice to equate 1 gram of wet diaper weight to 1 mL of urine, providing an accurate measure for fluid balance in infants.
C. 15 mL: Incorrect. This is too high for the given weight-to-volume ratio.
D. 5 mL: Incorrect. This is too high and does not match standard pediatric guidelines.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Obtain a throat culture. Throat cultures are contraindicated in suspected epiglottitis because the procedure can provoke airway obstruction and worsen the condition.
B. Visualize the epiglottis using a tongue depressor. Attempting to visualize the epiglottis can lead to sudden airway obstruction in children with epiglottitis. This is dangerous and should be avoided.
C. Initiate airborne precautions. Droplet precautions, not airborne, are necessary for epiglottitis because it is typically caused by bacteria that spread through respiratory droplets.
D. Prepare the child for a neck X-ray and possible tracheostomy. A neck X-ray can help diagnose epiglottitis by showing the characteristic "thumb sign." Immediate airway management, including preparation for a potential tracheostomy, is crucial due to the risk of sudden airway obstruction.
Correct Answer is B
Explanation
A. "I will notify the doctor if his temperature is not controlled with acetaminophen." Notifying the doctor if the temperature is not controlled with acetaminophen is appropriate, as persistent fever might indicate a more severe infection or other complications.
B. "I will continue to check his blood sugar two times every day." Checking blood sugar only twice a day is insufficient during illness, especially for a child with type 1 diabetes. Blood glucose levels can fluctuate significantly due to infection, and more frequent monitoring (at least 4 times a day or as recommended) is necessary.
C. "I will report changes in breathing or signs of confusion." Reporting changes in breathing or signs of confusion is essential, as these can be signs of worsening infection, respiratory distress, or diabetic ketoacidosis, which requires immediate medical attention.
D. "I will encourage him to drink a half a cup of water or sugar-free fluid every 30 minutes." Encouraging fluid intake is important to prevent dehydration and help manage blood glucose levels during illness. Ensuring adequate hydration with water or sugar-free fluids is appropriate.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.