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 A

Explanation

A. Understanding that the ostomy is temporary indicates an understanding of the surgical procedure and the need for subsequent surgeries for definitive treatment.
B. Complications may arise during or after surgery; the absence of complications is not guaranteed.

C. Achieving normal bowel movements may require additional interventions beyond the initial surgery for Hirschsprung disease.
D. Follow-up visits are essential for monitoring the child's progress and ensuring proper healing and management of the condition post-surgery.

A. Skin integrity B. Blood pressure C. Body weight D. Respiratory rate

Correct Answer is C

Explanation

A. Skin integrity can be affected by various factors and may not solely indicate fluid loss.
B. Blood pressure may be affected by factors other than fluid loss, especially in infants.
C. Body weight is the most reliable indicator of fluid loss in infants, as changes in weight directly reflect changes in fluid status.
D. Respiratory rate may increase due to fever or other factors and may not solely indicate fluid loss.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a parent of a child who has Hirschsprung disease is scheduled for initial surgery. Which of the following statements by the parent indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?

Correct Answer is C

Explanation

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