A nurse is preparing to calculate fluid replacement for a dehydrated child.
Which of the following steps should the nurse take? (Select all that apply).
Assess the degree of dehydration based on clinical signs and symptoms.
Calculate the fluid deficit based on the degree of dehydration.
Administer electrolyte solutions or supplements as necessary.
Monitor the child’s response to treatment and adjust the plan accordingly.
Communicate with physicians, nutritionists, and other healthcare professionals to ensure comprehensive care.
Correct Answer : A,B,D,E
Choice A rationale:
Assessing the degree of dehydration based on clinical signs and symptoms is a fundamental step in managing a dehydrated child.
This assessment guides the choice of appropriate treatment and fluid replacement.
Choice B rationale:
Calculating the fluid deficit based on the degree of dehydration is crucial in determining the amount of fluid that needs to be replaced accurately.
This calculation helps prevent under or overhydration.
Choice D rationale:
Monitoring the child's response to treatment and adjusting the plan accordingly is essential.
Dehydration management is an ongoing process, and adjustments may be necessary based on how the child is progressing.
Choice E rationale:
Communication with physicians, nutritionists, and other healthcare professionals is vital for comprehensive care.
Dehydration management often involves a multidisciplinary approach to address the child's overall health and nutritional needs.
Selecting all of these options (A, B, D, and E) ensures a comprehensive approach to managing dehydration in a child.
It involves assessment, calculation, monitoring, and collaboration with healthcare professionals for the best outcome.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Fluid deficit (in mL) = body weight (in kg) x 0.03.
Rationale: This calculation significantly underestimates the fluid deficit for a child with moderate dehydration.
Dehydration often requires more significant fluid replacement.
Choice B rationale:
Fluid deficit (in mL) = body weight (in kg) x 0.06.
Rationale: This calculation overestimates the fluid deficit for a child with moderate dehydration.
Using this formula would result in excessive fluid replacement, which can be harmful.
Choice C rationale:
Fluid deficit (in mL) = body weight (in kg) x 0.1.
Rationale: This calculation overestimates the fluid deficit for a child with moderate dehydration.
Using this formula would result in excessive fluid replacement, which can be harmful.
Choice D rationale:
Fluid deficit (in mL) = body weight (in kg) x 0.04.
Rationale: This is The correct answer.
The appropriate fluid deficit calculation for a child who weighs 12 kg with moderate dehydration is to multiply their body weight by 0.04.
For this child, it would be 12 kg x 0.04 = 480 mL.
This formula is a commonly used guideline to estimate fluid deficit in cases of dehydration.
Correct Answer is A
Explanation
Choice A rationale:
“This fluid will help to restore my sodium levels and replace the fluids I lost from vomiting.”.
The client should understand that they are receiving Half Normal Saline (0.45% NaCl) to restore sodium levels and replace lost fluids due to vomiting.
Half Normal Saline contains 77 mEq/L of sodium and 77 mEq/L of chloride, making it a suitable choice for a patient with mild hyponatremia and fluid loss from vomiting.
It helps restore sodium levels without the risk of overcorrection seen with 0.9% NaCl.
Choice B rationale:
“This fluid will help to lower my sodium levels and replace the fluids I lost from sweating.”.
Half Normal Saline is not used to lower sodium levels; its purpose is to restore sodium levels and provide fluids for cases like vomiting or other fluid losses.
Sweating typically leads to fluid loss, not sodium loss, and Half Normal Saline is not a treatment for high sodium levels.
Choice C rationale:
“This fluid will help to restore my potassium levels and replace the fluids I lost from vomiting.”.
Half Normal Saline does not address potassium levels, and the primary reason for using it is to address sodium imbalances and fluid loss, not potassium-related issues.
Choice D rationale:
“This fluid will help to lower my potassium levels and replace the fluids I lost from sweating.”.
Half Normal Saline is not used to lower potassium levels and is not specifically indicated for treating high potassium.
Additionally, it is not typically used to address fluid loss from sweating.
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