You are calculating the intake for a 10 month old infant for the past 4 hours. She is on a clear liquid diet in the past 4 hours she has taken 6.5 ounces of water from a sippy cup. She also ate an entire 2 ounce Pedialyte ice pop and 1/4 cup of jello. Her maintenance IV fluids are running at a rate of 18 ml/hr. She received a dose of Ceftriaxone 400mg/50ml via IV piggyback two hours ago. What is the total intake for this patient in the past 4 hours. Please put your answer in MILLILITERS and round to the nearest WHOLE number.
The Correct Answer is ["437"]
Calculation:
- Identify all fluid sources and convert volumes to milliliters (mL).
Water intake: 6.5 ounces x 30 mL/ounce = 195 mL.
Pedialyte ice pop intake: 2 ounces x 30 mL/ounce = 60 mL.
Jello intake: 1/4 cup x 240 mL/cup = 60 mL.
Maintenance IV fluids: 18 mL/hour x 4 hours = 72 mL.
Ceftriaxone IV piggyback: The entire volume of the bag is counted, which is 50 mL.
- Add all the volumes together to find the total intake.
Total intake = 195 mL + 60 mL + 60 mL + 72 mL + 50 mL
= 437 mL.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. "This is not normal, we should consult GI for a nissen fundoplication": A Nissen fundoplication is a surgical procedure reserved for severe gastroesophageal reflux disease (GERD). It is not an appropriate first step for an otherwise healthy infant.
B. "This is not normal, we need to send you to the emergency room": Frequent spitting up without distress, feeding problems, or poor weight gain is not an emergency. This response would unnecessarily alarm the mother.
C. "This is physiologically normal because baby's central nervous system is not developed and they don't know how to swallow effectively": While neuromuscular maturity plays a role in infant feeding, spitting up in healthy infants is more often due to anatomical immaturity of the gastrointestinal system, rather than poor swallowing reflexes.
D. In healthy, thriving infants, frequent spitting up is usually a benign form of gastroesophageal reflux caused by the immaturity of the lower esophageal sphincter. This muscle strengthens over time, and symptoms typically improve as the infant grows.
Correct Answer is ["A","B","E"]
Explanation
Rationale:
A. Diaphoresis while eating: Excessive sweating during feeding is a common sign of increased cardiac workload in infants. It indicates that the infant is struggling to meet oxygen demands due to a possible heart problem.
B. Small stature for age: Poor growth or failure to thrive often occurs in infants with cardiac issues because their bodies use extra energy to maintain adequate circulation, leading to inadequate weight gain and growth.
C. Poor social development: While important to assess, poor social development is generally not a direct indicator of cardiac issues in infants and may be related to other neurological or environmental factors.
D. Warm extremities: Warm extremities typically indicate good peripheral perfusion. In cardiac problems, extremities are often cool or mottled due to poor circulation.
E. Cyanosis: Cyanosis, or bluish discoloration of the skin and mucous membranes, is a classic and important sign of cardiac defects that cause decreased oxygenation of blood, especially in congenital heart disease.
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