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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. Sodium 142 mEq/L: This is within the normal range for sodium (135-145 mEq/L) and does not indicate a problem that needs immediate attention.

B. Urine specific gravity 1.025: This value is on the higher end of the normal range for urine specific gravity (1.010-1.030) and indicates concentration of urine, which can occur in mild dehydration. It is not critical but indicates the need for monitoring.

C. Potassium 2.5 mEq/L: This is below the normal range for potassium (3.5-5.0 mEq/L) and indicates hypokalemia, which can cause serious cardiac issues and muscle weakness. It is a priority to correct this imbalance to prevent complications.

D. Blood glucose 110 mg/dL: This is within the normal range for blood glucose levels (70-110 mg/dL) for children and does not indicate an immediate concern related to dehydration.

A. Drink eight glasses of fluid daily. B. Maintain an updated haemophilus influenza type B immunization. C. Assume postural drainage positions every 6 hr. D. Avoid playground activities at school.

Correct Answer is A

Explanation

A. Drink eight glasses of fluid daily: Maintaining hydration is crucial in preventing sickle cell crises as it helps to keep the blood less viscous, reducing the risk of vaso-occlusion.

B. Maintain an updated haemophilus influenza type B immunization: While staying up to date on vaccinations is important, it is not specific to preventing sickle cell crises.

C. Assume postural drainage positions every 6 hr: This is more relevant for respiratory conditions like cystic fibrosis, not sickle cell anemia.

D. Avoid playground activities at school: Regular activity is beneficial, but avoiding extreme physical exertion is more relevant. Normal playground activities can usually be continued with proper hydration and caution.

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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?

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