Cierra, a 10-year-old female weighing 36kg, is now NPO for surgery in the morning and needs _____ of maintenance fluids.
36ml
67.5ml
24ml
76ml
The Correct Answer is D
Step 1: Use the Holliday-Segar formula for maintenance fluids:
For the first 10 kg: 100 mL/kg/day
For the next 10 kg: 50 mL/kg/day
For any additional kg over 20 kg: 20 mL/kg/day
Step 2: Calculate for 36 kg
First 10 kg → 10 × 100 = 1,000 mL
Next 10 kg → 10 × 50 = 500 mL
Remaining 16 kg → 16 × 20 = 320 mL
Total = 1000 + 500 + 320 = 1,820 mL/day
Step 3: Convert to hourly rate
1820 mL/day ÷ 24 hr = 75.8 mL/hr
= 76 mL/hr (rounded off to the nearest whole number.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Children with autism spectrum disorder often have difficulties with social interaction and imaginative play. They benefit from structured and supervised activities to support social skills and reduce anxiety.
B. A reward system for positive behavior (positive reinforcement) is a key behavioral strategy in managing children with autism. It helps encourage desired behaviors and provides consistent feedback in a way the child can understand.
C. Rules should be clear, consistent, and structured. Allowing rules to vary with the child’s behavior can lead to confusion and make behavior management more difficult.
D. Children with autism generally thrive on routine and predictability. A flexible schedule that changes based on interests may increase anxiety and behavioral issues. A structured and predictable routine is more beneficial.
Correct Answer is B
Explanation
A. Obtaining a throat culture is contraindicated in suspected epiglottitis because it can cause laryngospasm and complete airway obstruction.
B. Placing the child in an upright position (such as the tripod position) helps to maximize airway patency and ease respiratory distress. This is a safe and supportive measure while preparing for definitive care.
C. While a lateral neck x-ray may be helpful in diagnosis, transporting the child can worsen distress, and airway stabilization takes priority before any diagnostic procedures.
D. Never attempt to visualize the epiglottis with a tongue depressor in suspected cases—this can trigger airway obstruction and is only done in a controlled setting like the OR with emergency airway support available.
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