A nurse is caring for a group of clients on a pediatric unit. Which of the following clients is most at risk for insufficient vascular perfusion?
A toddler who is receiving intravenous fluids
A school-age child who is in a spica cast
An adolescent who has a urinary tract infection
A preschooler who has otitis media
The Correct Answer is B
A. Receiving IV fluids is important but it doesn't typically put a child at risk for insufficient vascular perfusion unless there are complications like fluid overload or infiltration.
B. A spica cast can restrict movement and potentially impair circulation to the affected limb, increasing the risk of insufficient vascular perfusion.
C. A urinary tract infection primarily affects the urinary system and doesn't directly impact vascular perfusion.
D. Otitis media is an ear infection and does not typically affect vascular perfusion.
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Related Questions
Correct Answer is B
Explanation
A. In nephrotic syndrome, there is significant protein loss leading to edema. Increasing fluid intake would exacerbate the problem. Fluid restriction is often necessary.
B. Daily weight monitoring is crucial in nephrotic syndrome to assess fluid retention and the effectiveness of treatment. Weight gain indicates fluid accumulation.
C. Elevating the child's head and legs can help reduce edema. Supine positioning might worsen it.
D. Adequate nutrition is essential for healing and recovery. Restricting calories is not necessary and could be harmful.
Correct Answer is C
Explanation
A. Increasing oral fluid intake would not necessarily improve dialysate outflow. This could worsen the issue if the problem is related to fluid overload.
B. Increasing dwell time might allow more time for fluid and waste removal, but it's not the most appropriate action in this case. The primary concern is the lack of outflow, which suggests a potential obstruction or other issue.
C. Changing the child's position can help to reposition the catheter and improve drainage. This is a reasonable action to try.
D. A bruit indicates increased blood flow to the area. While it's important to assess for this, it's not the most immediate action to take.
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