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
2 mL/kg/hr
15 mL/kg/hr
75 mL/kg/hr
The Correct Answer is B
The correct answer is b. 2 mL/kg/hr. This is within the normal range for infants, indicating adequate hydration.
Choice A reason:
0.5 mL/kg/hr: This is below the normal range for infants, indicating possible dehydration3. Normal urinary output for infants is typically 1-2 mL/kg/hr.
Choice B reason:
2 mL/kg/hr: This is within the normal range for infants, indicating that the fluid imbalance has been corrected.
Choice C reason:
15 mL/kg/hr: This is excessively high and could indicate overhydration or other issues1. Such high output is not typical for infants.
Choice D reason:
75 mL/kg/hr: This is extremely high and unrealistic for normal urinary output1. It suggests a measurement error or a severe medical condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Elbow restraints are commonly used for infants who have undergone cleft lip and palate repair to prevent them from touching or rubbing their incisions, which could cause bleeding, infection, or disruption of the sutures¹².
Choice B reason: Wrist restraints are not appropriate for infants who have undergone cleft lip and palate repair because they do not prevent the infant from reaching their mouth with their fingers or objects. Wrist restraints are more suitable for older children or adults who need to avoid pulling out tubes or catheters³.
Choice C reason: Jacket restraints are not indicated for infants who have undergone cleft lip and palate repair because they do not restrict the movement of the arms or hands. Jacket restraints are more useful for children who need to be secured to a bed or chair to prevent falls or injuries³.
Choice D reason: Mummy restraints are not recommended for infants who have undergone cleft lip and palate repair because they immobilize the entire body and can cause respiratory distress, overheating, or skin breakdown. Mummy restraints are only used for short procedures that require minimal movement, such as venipuncture or lumbar puncture³.
Correct Answer is D
Explanation
Choice A reason: Blood pressure is not the most reliable indicator of fluid loss, as it can be affected by many other factors, such as cardiac output, vascular resistance, and blood volume. Blood pressure may not change significantly until the fluid loss is severe and the compensatory mechanisms are overwhelmed.
Choice B reason: Respiratory rate is not the most reliable indicator of fluid loss, as it can be affected by many other factors, such as oxygen demand, carbon dioxide levels, acid-base balance, and respiratory infections. Respiratory rate may increase as a result of fluid loss, but it is not a specific or sensitive sign.
Choice C reason: Skin integrity is not the most reliable indicator of fluid loss, as it can be affected by many other factors, such as age, nutrition, hydration, and skin diseases. Skin integrity may deteriorate as a result of fluid loss, but it is not a quantitative or objective measure.
Choice D reason: Body weight is the most reliable indicator of fluid loss, as it reflects the changes in the total body water and electrolytes. Body weight can be measured easily and accurately, and it can be compared with the previous or baseline values. A loss of more than 5% of the body weight indicates moderate dehydration, and a loss of more than 10% indicates severe dehydration.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
