Which individual with diarrhea for three days is most likely to suffer from fluid and electrolyte imbalance?
School-age child
Adolescent
Young adult
Infant
The Correct Answer is D
a) School-age child: While a school-age child is at risk for dehydration, their fluid and electrolyte imbalance risk is less than that of an infant due to greater reserve and more effective compensatory mechanisms.
b) Adolescent: Similar to the school-age child, an adolescent is at lower risk for severe fluid and electrolyte imbalances due to a better-developed system to handle fluid loss.
c) Young adult: While diarrhea can lead to dehydration in young adults, they are generally more capable of compensating for mild to moderate fluid losses compared to infants.
d) Infant: Infants are at the highest risk for severe fluid and electrolyte imbalance due to their smaller body size, higher fluid turnover, and less efficient compensatory mechanisms. Dehydration can develop quickly in infants.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a) Auscultate breath sounds: While auscultating breath sounds may reveal signs of aspiration (e.g., crackles), stopping the feedings is the immediate priority to prevent further aspiration and reduce the risk of complications like aspiration pneumonia.
b) Stop the feedings: The highest priority is to stop the enteral feedings immediately to prevent further aspiration and potential damage to the lungs, followed by further assessments.
c) Obtain a chest x-ray: A chest x-ray can confirm the presence of aspiration or pneumonia but is not the immediate priority. Stopping the feedings is more urgent.
d) Initiate antibiotic therapy: Antibiotics may be needed if aspiration pneumonia is suspected, but they should not be the first intervention. Stopping the feedings and assessing the patient should be done first.
Correct Answer is ["150"]
Explanation
To determine the infusion rate in mL/hr, divide the total volume (75 mL) by the time in hours (0.5 hours, since 30 minutes is 0.5 hours).
Rate(mL/hr)
= 75 ÷0.5
=150mL/hr
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