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 C
Explanation
A. Informed consent
Informed consent refers to the process of obtaining permission from a person who has the legal capacity to make decisions for themselves. It involves providing comprehensive information about the nature, risks, benefits, and alternatives of a medical intervention to enable the individual to make an informed decision.
B. Emancipation
Emancipation is a legal process that grants minors the status of being free from the control of their parents or guardians. It is usually granted based on factors such as maturity, financial independence, or special circumstances. Emancipated minors may have legal capacities similar to those of adults.
C. Assent
Assent is the process of obtaining a child's agreement or approval for medical treatment. It recognizes the child's developing capacity to understand the nature of the treatment, and it allows the child to express their willingness to participate in the decision-making process regarding their healthcare. Assent is sought in addition to the informed consent of the parents or legal guardians.
D. Confidentiality
Confidentiality involves keeping private information secure and not disclosing it without proper authorization. While confidentiality is an important aspect of healthcare, it is not specifically related to the process of obtaining a child's agreement to medical treatment.
Correct Answer is ["46"]
Explanation
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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