For the same child weighing 36 kg in moderate dehydration, now calculate the volume of ORS they should receive every 15 minutes. (Do not enter units)
Which foods should a child with celiac disease include in their diet?

Calculation Steps

Step 1: Determine the child’s weight in kg.

• Weight = 23 kg

Step 2: Determine the time period in hours.

• Time = 60 minutes = 1 hour

Step 3: Calculate the bolus rate in mL/kg/hour.

• Bolus rate (mL/kg/hour) = Total volume (mL) ÷ (Weight × Time)

Step 4: Assume a standard bolus volume for severe dehydration, which is typically 20 mL/kg.

• Total volume = 20 mL/kg × 23 kg = 460 mL

Step 5: Calculate the bolus rate.

• Bolus rate (mL/kg/hour) = 460 mL ÷ (23 kg × 1 hour) = 20 mL/kg/hour

Result

The bolus rate to be given to the severely dehydrated child is 20 mL/kg/hour.

Choice A reason:

In premature infants, it is common for the testes to not be palpable in the scrotum at birth. This condition, known as cryptorchidism, affects about 30% of preterm infants1. The testes usually descend into the scrotum by the time the infant reaches term or within the first few months of life. Therefore, the nurse should document this as an expected finding and continue to monitor the infant’s development.

Choice B reason:

Inserting a urinary catheter to collect a urine specimen is not necessary in this situation. The absence of palpable testes in a premature infant is a common finding and does not indicate a need for immediate urinary evaluation. Urinary catheterization should be reserved for specific medical indications, such as suspected urinary tract infection or urinary retention.

Choice C reason:

Initiating a social work consult is not relevant to the clinical finding of undescended testes in a premature infant. Social work consultations are typically initiated for psychosocial issues, family support, or discharge planning. The absence of palpable testes is a medical finding that should be documented and monitored by the healthcare team.

Choice D reason:

Calling the provider for this unexpected finding is not necessary because the absence of palpable testes in a premature infant is an expected finding. The nurse should document the finding and continue to monitor the infant’s development. If the testes do not descend by the time the infant reaches term or within the first few months of life, further evaluation and management may be needed.