The nurse is caring for a 12 kg toddler who is diagnosed with dehydration following a history of vomiting and diarrhea. She has received two fluid boluses and now has an order for D5/0.45 NaCl at full maintenance. After calculating daily fluid requirements, at what hourly rate would the nurse set the pump? Round to the nearest whole number and just insert the number.
The Correct Answer is ["46"]
To provide adequate hydration for a toddler with dehydration, the nurse needs to calculate the daily fluid requirements based on the child's weight and then divide it by 24 hours to get the hourly rate.
For a 12 kg toddler, the daily fluid requirement is 1000 ml for the first 10 kg plus 50 ml for each additional kg, which equals 1100 ml.
Therefore, the hourly rate is 1100 ml / 24 hours, which is about 46 ml.
The nurse would set the pump at 46 ml per hour.
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Related Questions
Correct Answer is D
Explanation
A. Provide a coloring book so they can color within the lines.
Coloring within the lines is a fine motor skill that is not typically developed at 12 months. Fine motor activities like coloring may become more suitable as the child grows, but at this age, the emphasis is generally on gross motor skills.
B. Provide a stick horse to develop gross motor coordination.
While a stick horse may be a fun toy, it may not be the most appropriate choice for a 12-month-old who is still working on basic motor skills. Gross motor coordination can be better encouraged with toys that support standing, walking, and pushing.
C. Place a cradle gym across the crib to facilitate fine motor skills.
A cradle gym can be appropriate for visual and sensory stimulation, but it is more related to visual tracking and reaching than fine motor skills. Fine motor skills typically involve more intricate hand movements, which may not be fully developed at 12 months.
D. Give large push-pull toys for kinesthetic stimulation.
For a 12-month-old child, appropriate play activities should focus on promoting gross motor skills, coordination, and exploration. Giving large push-pull toys encourages the development of kinesthetic skills, allowing the child to practice standing, walking, and moving. It also supports the development of coordination and balance.
Correct Answer is D
Explanation
A. "They will come around dinner time."
This response uses the term "dinner time," which might be too abstract for a young child. It doesn't provide a specific visual reference.
B. "It won't be much longer."
This response is somewhat vague and may not offer a clear understanding of when the parents will arrive. Young children may not grasp the concept of "much longer."
C. "They will be here soon."
Similar to choice B, this response is somewhat vague and relies on the child's interpretation of "soon," which can vary.
D. "Let me show you where 6 o'clock is on the clock."
This response is the most concrete and provides a visual reference by using the clock. It helps the child understand the passage of time in a more tangible way.
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