A nurse is caring for a 6-month-old infant who has a prescription for clear liquids by mouth after a repair of an intussusception. Which of the following fluids should the nurse select for the infant?
Half-strength orange juice
Half-strength infant formula
Full-strength apple juice
Full-strength chicken broth
The Correct Answer is B
Choice A reason: Half-strength orange juice is not a good choice for the infant, as it is acidic and may irritate the gastrointestinal tract. It also does not provide adequate calories or nutrition for the infant.
Choice B reason: Half-strength infant formula is a suitable choice for the infant, as it is bland and easy to digest. It also provides some calories and nutrition for the infant, who may have lost fluids and electrolytes due to the intussusception.
Choice C reason: Full-strength apple juice is not a good choice for the infant, as it is high in sugar and may cause diarrhea. It also does not provide adequate calories or nutrition for the infant.
Choice D reason: Full-strength chicken broth is not a good choice for the infant, as it is high in sodium and may cause dehydration. It also does not provide adequate calories or nutrition for the infant..
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is b. 2 mL/kg/hr. This is within the normal range for infants, indicating adequate hydration.
Choice A reason:
0.5 mL/kg/hr: This is below the normal range for infants, indicating possible dehydration3. Normal urinary output for infants is typically 1-2 mL/kg/hr.
Choice B reason:
2 mL/kg/hr: This is within the normal range for infants, indicating that the fluid imbalance has been corrected.
Choice C reason:
15 mL/kg/hr: This is excessively high and could indicate overhydration or other issues1. Such high output is not typical for infants.
Choice D reason:
75 mL/kg/hr: This is extremely high and unrealistic for normal urinary output1. It suggests a measurement error or a severe medical condition.
Correct Answer is B
Explanation
Choice A reason: Gastrointestinal system is not the primary system affected by Kawasaki disease, although some children may have symptoms such as diarrhea, vomiting, or abdominal pain. These are not specific to Kawasaki disease and may be caused by other conditions.
Choice B reason: Cardiovascular system is the most important system to monitor in children with Kawasaki disease, as it can cause inflammation of the blood vessels, especially the coronary arteries that supply the heart. This can lead to serious complications such as coronary artery aneurysms, myocarditis, pericarditis, valvular dysfunction, and arrhythmias. Children with Kawasaki disease need regular echocardiograms to assess the cardiac function and structure.
Choice C reason: Respiratory system is not the primary system affected by Kawasaki disease, although some children may have symptoms such as cough, rhinorrhea, or wheezing. These are not specific to Kawasaki disease and may be caused by other conditions.
Choice D reason: Integumentary system is not the primary system affected by Kawasaki disease, although some children may have symptoms such as rash, peeling of the skin, red eyes, red lips, and red tongue. These are not specific to Kawasaki disease and may be caused by other conditions.
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