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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Mummy restraints may restrict movement too much and could be uncomfortable for the infant postoperatively.
B. Restraints for a young infant should be the least restrictive option to prevent self- harm while allowing some movement. Elbow restraints are more appropriate for this age group.
C. Jacket restraints are also not suitable as they do not effectively prevent the infant from reaching their face.
D. Wrist restraints may not be sufficient to prevent the infant from accessing the surgical site and may allow unintended movement.

A. Administer laxative B. Administer enemas until clear C. Maintain NPO status D. Administer acetaminophen 800 mg E. Obtain abdominal ultrasound F. Initiate IV antibiotics

Correct Answer is ["C","D","E","F"]

Explanation

A. Administering a laxative would not be appropriate in this scenario because the client is presenting with symptoms suggestive of an acute abdomen, which could be indicative of a serious condition like appendicitis. Laxatives could potentially worsen the condition or mask important symptoms.
B. Administering enemas until clear is not indicated in this situation. It could potentially delay appropriate diagnosis and treatment of the underlying cause of the client's symptoms, such as appendicitis. Additionally, enemas may be contraindicated if there is suspicion of bowel obstruction or perforation.
C. Given the symptoms of right lower quadrant abdominal pain, nausea, and vomiting, along with the elevated WBC count and C-Reactive Protein level, maintaining NPO (nothing by mouth) status is appropriate to rest the bowel and prevent potential exacerbation of symptoms.
D. Acetaminophen will help alleviate the client’s pain, while preparing them for an appendectomy.
E. The client's presentation with right lower quadrant abdominal pain, along with the elevated WBC count, warrants further investigation to rule out appendicitis. An abdominal ultrasound can help confirm the diagnosis and guide further management.
F. With the clinical suspicion of appendicitis supported by the elevated WBC count, initiation of IV antibiotics is indicated to treat possible infection and prevent complications associated with appendicitis, such as perforation or abscess formation.

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Which of the following is an appropriate consideration for pediatric fluid replacement?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a 2-month-old infant who is postoperative following repair of a cleft lip and palate. The provider prescribes restraints. The nurse should apply which of the following types of restraints for this infant?

Correct Answer is B

Explanation

Correct Answer is ["C","D","E","F"]

Explanation

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