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).

Choice A rationale:

Lethargy and muscle weakness are common signs of electrolyte imbalances in a dehydrated child.

Dehydration can lead to an imbalance of electrolytes, such as sodium and potassium, which affects muscle function and overall energy levels.

Choice B rationale:

Increased appetite and hyperactivity are not typical signs of electrolyte imbalances in a dehydrated child.

Dehydration often leads to a decreased appetite and lethargy.

Choice C rationale:

Shortness of breath and coughing are not directly related to electrolyte imbalances in a dehydrated child.

These symptoms are more likely to be associated with respiratory or pulmonary issues rather than dehydration.

Choice D rationale:

Excessive thirst and urination are common signs of dehydration but are not indicative of electrolyte imbalances.

These symptoms occur as the body attempts to compensate for fluid loss by increasing thirst and increasing urine output.

Electrolyte imbalances are more likely to manifest as muscle weakness and cardiac arrhythmias.

Choice A rationale:

Ensure appropriate fluid intake based on age and weight.

Rationale: This is an essential piece of advice to prevent dehydration in children.

Proper fluid intake based on age and weight helps maintain hydration.

However, it's not the only advice that should be given.

Choice B rationale:

Monitor for signs of dehydration such as dry mucous membranes and decreased urine output.

Rationale: Monitoring for signs of dehydration is crucial, but it's not the only preventive measure.

Detecting dehydration early is important for timely intervention, but proactive prevention is also necessary.

Choice C rationale:

Encourage consumption of electrolyte solutions during periods of illness.

Rationale: Encouraging the consumption of electrolyte solutions during illness is a valuable piece of advice, especially when children may lose fluids due to vomiting or diarrhea.

However, it's not the only preventive measure.

Choice D rationale:

All these measures are necessary to prevent dehydration in children.

Rationale: This is The correct answer.

Preventing dehydration in children involves a combination of measures, including ensuring appropriate fluid intake, monitoring for signs of dehydration, and encouraging electrolyte solutions during illness.

All these measures work together to keep a child well-hydrated and prevent dehydration.