A pediatric patient who has been seriously burned is being given IV fluid replacements. It has been determined that the patient will initially need 24 ounces of replacement fluids. In following a normal burn replacement treatment for this child, if the treatment is started at 10:00 AM, which of the following would be correct? The child would have received:

Choice A reason: Suctioning removes secretions from the nose and mouth, a correct purpose. This statement reflects accurate understanding of the procedure’s goal, making it correct and not requiring further instruction, unlike the misconception about exclusive bulb syringe use in suctioning discussed in the seminar.

Choice B reason: Asking a child to cough before suctioning clears airways and is appropriate when feasible, showing correct knowledge. This does not indicate a need for instruction, making it incorrect compared to the incorrect limitation of suctioning to bulb syringes only in the student’s statement.

Choice C reason: Using sterile saline drops to loosen secretions is a standard practice in nasal suctioning, reflecting accurate technique. This statement is correct, making it incorrect for needing further instruction, unlike the erroneous restriction of suctioning to bulb syringes alone in the seminar discussion.

Choice D reason: Suctioning is not limited to bulb syringes; catheter or mechanical suction is used in clinical settings for deeper secretions. This statement reflects a misunderstanding, requiring further instruction on suctioning methods, aligning with pediatric nursing standards, making it the correct choice for additional teaching.

Choice A reason: Infant sebaceous and sweat glands are not fully functional, developing postnatally. The skin’s role in temperature regulation is accurate, making this incorrect, as it misstates infant integumentary function in the instructor’s presentation to student nurses on the system’s role.

Choice B reason: The integumentary system is present at birth, though maturing over time, not absent until after birth. Temperature regulation is a key function, making this incorrect, as it exaggerates the system’s developmental timeline in the instructor’s presentation on the integumentary system.

Choice C reason: The skin, the body’s largest organ, regulates temperature through sweating and vasodilation, a primary integumentary function. This aligns with physiological principles, making it the most accurate statement for the instructor to present to student nurses about the integumentary system’s role.

Choice D reason: Oxygen distribution is a respiratory and circulatory function, not integumentary. The skin’s temperature regulation is correct, making this incorrect, as it misattributes a role to the integumentary system in the instructor’s presentation to student nurses on its physiological functions.