A nurse is providing fluid replacement therapy to a dehydrated child.
What should the nurse do to ensure comprehensive care during the treatment and management of dehydration in children?
Administer electrolyte solutions only.
Communicate with the healthcare team.
Rely solely on clinical signs to assess hydration status.
Skip monitoring the child's response to treatment.
The Correct Answer is B
Communicate with the healthcare team.
To ensure comprehensive care during the treatment and management of dehydration in children, communication with the healthcare team is essential.
Here's the rationale for this choice:
Choice A rationale:
Administer electrolyte solutions only.
This is not The correct approach.
While administering electrolyte solutions is a vital part of managing dehydration, it is not the only aspect of care.
Comprehensive care also includes assessing the child's overall condition, monitoring vital signs, and addressing any underlying causes of dehydration.
Choice B rationale:
Communicate with the healthcare team.
This is The correct answer.
Dehydration management often requires a multidisciplinary approach.
Communicating with the healthcare team, which may include physicians, dietitians, and other specialists, is crucial to ensure that the child receives appropriate treatment and that any underlying medical issues are addressed.
It also allows for coordinated care and adjustment of the treatment plan as needed.
Choice C rationale:
Rely solely on clinical signs to assess hydration status.
Relying solely on clinical signs is not sufficient for comprehensive care.
While clinical signs are important indicators of hydration status, laboratory tests and monitoring are also necessary to accurately assess and manage dehydration.
Choice D rationale:
Skip monitoring the child's response to treatment.
Skipping monitoring is not advisable.
Monitoring the child's response to treatment is a critical part of dehydration management.
It helps ensure that the child is improving, and adjustments can be made to the treatment plan if necessary.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale:
Lactated Ringer's solution is not contraindicated in cases of hyperkalemia.
This solution contains potassium in a relatively low concentration of 4 mEq/L, which is unlikely to significantly impact hyperkalemia.
Choice B rationale:
Lactated Ringer's solution can be contraindicated in cases of hypokalemia.
While it does contain potassium, the concentration is relatively low at 4 mEq/L.
In cases of severe hypokalemia, a more potassium-rich solution might be preferred.
Choice C rationale:
Lactated Ringer's solution can be used in cases of lower GI fluid loss.
It can help replace lost fluids and electrolytes effectively.
Choice D rationale:
Lactated Ringer's solution can be used in cases of upper GI fluid loss.
It helps restore lost fluids and electrolytes.
Choice E rationale:
Lactated Ringer's solution is not contraindicated in cases of lactic acidosis.
In fact, it contains lactate (28 mEq/L), which can be metabolized to bicarbonate and help correct acidosis.
Correct Answer is A
Explanation
Choice A rationale:
The client's statement, "This IV fluid will provide me with hydration and calories," is correct.
D10W contains 10% dextrose and is used to provide both hydration and calories to the patient.
Choice B rationale:
D10W would not help lower blood sugar levels.
In fact, it would increase blood sugar levels due to the high concentration of dextrose.
Choice C rationale:
D10W does not provide essential electrolytes, so the statement is incorrect.
It's primarily used for calorie supplementation and hydration.
Choice D rationale:
D10W would not help increase blood pressure.
While it can provide hydration, it does not contain medications or components specifically intended to increase blood pressure.
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