A nurse is admitting a 6-month-old infant who has dehydration.
Which of the following amounts of urinary output should indicate to the nurse that the treatment has corrected the fluid imbalance?
0.5 mL/kg/hr.
15 mL/kg/hr.
2 mL/kg/hr.
7.5 mL/kg/hr.
The Correct Answer is C
The correct answer is C. 2 mL/kg/hr.
Choice A rationale: An output of 0.5 mL/kg/hr is insufficient and indicative of ongoing dehydration or inadequate fluid intake.
Choice B rationale: An output of 15 mL/kg/hr is excessive and could suggest overhydration or a different pathology.
Choice C rationale: A urinary output of 2 mL/kg/hr is an ideal measure for indicating that fluid balance has been restored in infants.
Choice D rationale: An output of 7.5 mL/kg/hr is unusually high and not typical for a corrected fluid balance in infants.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice a. Reposition the child every 2 hr.
Choice A rationale:
Repositioning the child every 2 hours is essential to prevent complications such as pressure ulcers and to promote comfort and circulation.
Choice B rationale:
Removing the traction boot during baths is not recommended as it can disrupt the traction setup and potentially worsen the condition.
Choice C rationale:
Reducing fluid intake is not necessary for managing Legg-Calve-Perthes disease and could lead to dehydration.
Choice D rationale:
Applying antibiotic ointment to pin sites daily is not applicable in this scenario as Buck extension traction typically does not involve pin sites.
Correct Answer is D
Explanation
The nurse should first notify the provider about the bruises observed on the toddler.
Choice A is not correct because while it may be important to gather information from the parents, the nurse’s first action should be to notify the provider.
Choice B is not correct because while it may be important to gather information from the toddler, the nurse’s first action should be to notify the provider.
Choice C is not correct because while notifying social services may be necessary in some cases, the nurse’s first action should be to notify the provider.
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