Which of the following is an appropriate consideration for pediatric fluid replacement?
Using the same fluid replacement guidelines as adults.
Providing excessive fluid replacement to prevent dehydration.
Adjusting fluid replacement based on weight and age.
Ignoring fluid replacement and relying solely on oral intake.
The Correct Answer is C
A. Pediatric fluid replacement guidelines differ from those for adults due to differences in physiology and fluid requirements.
B. Providing excessive fluid replacement can lead to complications such as fluid overload; fluid replacement should be tailored to the individual child's needs.
C. Adjusting fluid replacement based on weight and age is essential in pediatric patients to ensure appropriate hydration and electrolyte balance.
D. Ignoring fluid replacement can lead to dehydration, especially in cases of illness or surgical procedures, where fluid needs may be increased.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A flaccid abdomen might be present but is not specific for a ruptured appendix.
B. A low-grade fever may be present in both uncomplicated and perforated appendicitis.
C. A sudden decrease in abdominal pain after a period of worsening pain can indicate a ruptured appendix, which is life-threatening.
D. Absent Rovsing's sign (pain in the right lower quadrant when pressure is applied to the left lower quadrant) is not indicative of perforation but rather a sign of localized tenderness.
Correct Answer is C
Explanation
A. Pyloric stenosis involves obstruction at the outlet of the stomach and is not related to the large intestine.
B. Encopresis refers to bowel incontinence and is not typically associated with mechanical obstruction of the large intestine.
C. Hirschsprung's disease, characterized by the absence of ganglion cells in the large intestine, results in decreased motility and mechanical obstruction, leading to megacolon.
D. Enterocolitis is inflammation of the intestines and can be a complication of Hirschsprung's disease but is not the primary disorder causing mechanical obstruction.
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