What assessment should the nurse make before initiating an IV infusion of dextrose in normal saline solution with 20 mEq KCL per liter for a child hospitalized with dehydration?

Fluid intake

Urine output

Capillary refill

Number of stools

Answer and Explanation

The Correct Answer is B

Choice A reason:

Assessing fluid intake is important in managing dehydration, but it is not the most critical assessment before initiating an IV infusion containing potassium chloride (KCL). Fluid intake provides information about the child’s hydration status but does not directly indicate kidney function. Since potassium can cause hyperkalemia if not properly excreted, monitoring urine output is more crucial.

Choice B reason:

Urine output is the most important assessment before initiating an IV infusion containing potassium chloride (KCL). This is because adequate urine output indicates that the kidneys are functioning properly and can excrete excess potassium. Administering potassium chloride without ensuring proper kidney function can lead to hyperkalemia, a potentially life-threatening condition. Therefore, checking urine output is essential to prevent complications.

Choice C reason:

Capillary refill is a useful assessment for evaluating peripheral perfusion and hydration status. However, it does not provide direct information about kidney function or the body’s ability to excrete potassium. While capillary refill can be part of the overall assessment, it is not the most critical factor before administering an IV infusion with potassium chloride.

Choice D reason:

The number of stools is relevant in assessing dehydration, especially if the child has been experiencing diarrhea. However, like fluid intake, it does not directly indicate kidney function. Monitoring urine output is more important before administering potassium chloride to ensure the kidneys can handle the additional potassium load.

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Correct Answer is C

Explanation

Choice A reason:

A low-fat, low-carbohydrate diet is not specifically recommended for children with acute glomerulonephritis. The primary dietary concern for these children is managing fluid retention and blood pressure, which is more directly influenced by salt intake rather than fat or carbohydrate intake.

Choice B Reason:

Decreasing the number of calories in the child’s diet is not a primary recommendation for managing acute glomerulonephritis. While maintaining a healthy weight is important, the focus should be on reducing salt intake to manage edema and blood pressure.

Choice C Reason:

Avoiding salt is crucial for children with acute glomerulonephritis. Salt can lead to water retention, which exacerbates edema and can increase blood pressure. Therefore, it is important to limit salt intake to help manage these symptoms.

Choice D Reason:

Increasing the amount of protein in the diet is not recommended for children with acute glomerulonephritis. In fact, protein intake may need to be limited because the kidneys are less able to filter waste products from protein metabolism. Excessive protein can put additional strain on the kidneys.

A. Increase sodium intake B. Monitor intake/output C. Daily weights D. Monitor blood pressure

Correct Answer is ["B","C","D"]

Explanation

Choice A: Increase Sodium Intake

Increasing sodium intake is generally not recommended for patients with renal disorders. High sodium intake can lead to fluid retention, hypertension, and worsening of kidney function. Patients with renal disorders are often advised to follow a low-sodium diet to manage these risks.

Choice B: Monitor Intake/Output

Monitoring intake and output (I/O) is crucial for patients with renal disorders. It helps in assessing kidney function and fluid balance. Accurate measurement of fluid intake and urine output can provide valuable information about the patient’s hydration status and kidney function. This intervention is essential for preventing fluid overload and dehydration.

Choice C: Daily Weights

Daily weights are an important intervention for patients with renal disorders. Monitoring weight daily helps in detecting fluid retention early. Sudden weight gain can indicate fluid overload, which is a common issue in patients with kidney problems. By tracking daily weights, healthcare providers can make timely adjustments to the patient’s treatment plan.

Choice D: Monitor Blood Pressure

Monitoring blood pressure is a key intervention for patients with renal disorders. Hypertension is both a cause and a consequence of kidney disease. Regular monitoring of blood pressure helps in managing hypertension and preventing further damage to the kidneys. It also aids in assessing the effectiveness of antihypertensive medications.

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What assessment should the nurse make before initiating an IV infusion of dextrose in normal saline solution with 20 mEq KCL per liter for a child hospitalized with dehydration?

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Naxlex Comprehensive Predictor Exams

The nurse is teaching the parent about the diet of a child experiencing severe edema associated with acute glomerulonephritis. Which information should the nurse include in the teaching?

Correct Answer is C

Explanation

Key nursing interventions for all renal disorders include: (Select all that apply)

Correct Answer is ["B","C","D"]

Explanation

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