The nurse recognizes that the following factorts) predispose an infant to fluid imbalances: (Select All that Apply.)
Extracellular fluid volume is greater in infants than in adults
Excessive intake of dilute formula
Renal function is immature in children less than 2 years of age
Basic Metabolic Rate is less than an adult
The proportion of water in the body is less than adults
Correct Answer : A,B,C
Rationale:
A. Infants have a higher proportion of extracellular fluid, which leads to more rapid fluid loss compared to adults.
B. Excessive intake of dilute formula can cause water intoxication, leading to electrolyte imbalances.
C. Immature renal function in infants under 2 years affects their ability to concentrate urine and regulate fluid/electrolyte balance.
D. Infants have a higher (not lower) basal metabolic rate than adults, which increases fluid needs and losses.
E. Infants actually have a greater proportion of water in their bodies compared to adults, not less.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. This statement reflects correct understanding of safe sleep practices recommended to reduce the risk of SUID. Infants should be placed on a firm mattress in a crib with no loose bedding or soft objects.
B. Hospitalization does not guarantee that apneic spells will not recur; continued monitoring and safe sleep are essential.
C. Bed-sharing increases the risk of SUID and is not a recommended practice.
D. Sleeping in a swing or car seat is not safe for prolonged sleep and may increase the risk of airway obstruction and SUID.
Correct Answer is B
Explanation
Rationale:
A. Offering choices, when appropriate, actually decreases noncompliance by giving the child a sense of control.
B. Giving pediatric clients limited choices (e.g., “Do you want your medicine with apple juice or water?”) empowers them, reduces anxiety, and promotes trust and cooperation with care.
C. Offering choices does not impact the length of the hospital stay.
D. While it may improve cooperation during medication administration, it does not eliminate the need for it.
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