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A nurse is caring for a 4-year-old child who has dehydration. Which of the following findings should the nurse identify as the priority?

A.

Sodium 142 mEq/L

B.

Urine specific gravity 1.025

C.

Potassium 2.5 mEq/L

D.

Blood glucose 110 mg/Dl

Answer and Explanation

The Correct Answer is C

A. Sodium 142 mEq/L: This is within the normal range for sodium (135-145 mEq/L) and does not indicate a problem that needs immediate attention.

B. Urine specific gravity 1.025: This value is on the higher end of the normal range for urine specific gravity (1.010-1.030) and indicates concentration of urine, which can occur in mild dehydration. It is not critical but indicates the need for monitoring.

C. Potassium 2.5 mEq/L: This is below the normal range for potassium (3.5-5.0 mEq/L) and indicates hypokalemia, which can cause serious cardiac issues and muscle weakness. It is a priority to correct this imbalance to prevent complications.

D. Blood glucose 110 mg/dL: This is within the normal range for blood glucose levels (70-110 mg/dL) for children and does not indicate an immediate concern related to dehydration.


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Related Questions

Correct Answer is C

Explanation

A. "SIDS is directly correlated to diphtheria, tetanus, and pertussis vaccines." This statement is incorrect and misleading. There is no direct correlation between SIDS and vaccinations like the diphtheria, tetanus, and pertussis (DTP) vaccines. In fact, immunizations are an important part of a child's health and can help prevent diseases that could lead to complications, including those that might be indirectly related to SIDS risk factors.

B. "SIDS rates have been rising over the last 10 years." This statement is false. SIDS rates have generally been decreasing, especially since the introduction of public health campaigns promoting safe sleep practices, such as placing infants on their backs to sleep.

C. "You should place your baby on her back when sleeping to decrease the risk of SIDS." This is the correct and evidence-based recommendation. Placing a baby on their back to sleep significantly reduces the risk of SIDS. This practice is part of the "Back to Sleep" campaign, which has been shown to lower the incidence of SIDS.

D. "Sleep apnea is the main cause of SIDS." This statement is incorrect. While sleep apnea has been studied as a potential risk factor, it is not considered the main cause of SIDS. The exact cause of SIDS is still unknown, but it is believed to be related to multiple factors, including sleep environment and infant physiology.

Correct Answer is D

Explanation

A. Diarrhea: Not typically associated with Wilms' tumor, which affects the kidneys and presents primarily with abdominal symptoms.

B. Jaundice: Not a common symptom of Wilms' tumor, which involves the kidneys and usually does not affect liver function.

C. Swollen joints: This is more associated with conditions such as juvenile arthritis, not Wilms' tumor.

D. Abdominal mass: Wilms' tumor often presents as an asymptomatic abdominal mass that may be discovered during routine physical examination or parental bathing.

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