Which of the following is a correct method for measuring intake and output in young infants in the hospital?
Asking parents to estimate the amount of fluid the infant has consumed
Observing the infant for signs of dehydration
Monitoring the infant's feeding schedule
Weighing diapers to calculate urine output
The Correct Answer is D
Rationale:
A. Parental estimates can be inaccurate and are not a reliable method for precise intake measurement.
B. While observing for dehydration is important, it does not provide exact intake/output data.
C. Monitoring the feeding schedule helps track intake times but not actual volume consumed or output.
D. Weighing diapers is the standard and most accurate method for measuring urine output in infants who are not toilet-trained. The weight difference (1 gram = ~1 mL of urine) gives a precise measurement.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Rationale:
A. Performing traumatic or invasive procedures (such as examining the ears, mouth, or genital area) last helps build trust and minimizes distress during the assessment.
B. A head-to-toe approach may not be suitable for toddlers due to limited cooperation; flexibility is key.
C. Immediate physical contact can be intimidating and increase anxiety in toddlers—establishing rapport first is important.
D. Most toddlers lack the developmental ability to fully undress themselves; assistance is typically needed.
Correct Answer is D
Explanation
Rationale:
A. While reading a story can provide comfort and education, it is less effective in addressing hands-on fears directly.
B. Watching a video may help with general understanding, but does not offer a way to express feelings or practice.
C. Observing a nurse draw up insulin may not be appropriate or engaging for a young child and could increase anxiety.
D. Playing with medical equipment on a doll is a form of medical play that helps children express their feelings, gain control, and reduce fear related to procedures like injections.
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