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.

Answer and Explanation

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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Correct Answer is C

Explanation

A. Airborne precautions: RSV is primarily spread through respiratory droplets, not airborne particles. Therefore, airborne precautions are not necessary.

B. Contact Precautions and droplet precautions: Contact precautions are not typically required for RSV. The main mode of transmission is respiratory droplets, so droplet precautions are appropriate.

C. Standard Precautions and droplet precautions: This is the correct answer. Standard precautions involve using protective barriers to prevent the spread of infection and are applied to all patients. In addition, droplet precautions are necessary for infections transmitted through respiratory droplets.

D. Positive pressure isolation and airborne isolation: Positive pressure isolation and airborne isolation are generally used for conditions where the infectious agents are transmitted through the air, such as tuberculosis. These precautions are not necessary for RSV.

A. "You should always hold your child's hand when crossing the street." B. "Swim lessons would be important now to ensure your child is safe around a pool." C. "Medications with child proof tops are safe to keep on the counter so you remember to take them." D. "All small objects should be kept out of your child's view since he may aspirate them."

Correct Answer is C

Explanation

A. "You should always hold your child's hand when crossing the street."

This is a critical teaching point. Holding a child's hand while crossing the street is an important safety measure to prevent accidents and ensure the child's safety.

B. "Swim lessons would be important now to ensure your child is safe around a pool."

This is also a critical teaching point. Swim lessons can be essential for water safety, especially if there is a pool in the vicinity.

C. "Medications with childproof tops are safe to keep on the counter so you remember to take them."

This statement is incorrect. Medications, even with childproof tops, should be stored out of reach of children to prevent accidental ingestion. It's important to emphasize proper medication storage.

D. "All small objects should be kept out of your child's view since he may aspirate them."

This is a valid teaching point. Small objects can pose a choking hazard, and keeping them out of a child's reach is crucial for safety.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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