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Calculate the daily fluid requirements for a child weighing 33 pounds in ml. Note: Do not use a label and round to a whole number.
Answer and Explanation

The Correct Answer is ["1250"]

To calculate the daily fluid requirements for a child, you typically use the Holliday-Segar method, which provides guidelines based on the child's weight:

  1. For the first 10 kg of body weight, you give 100 ml per kg.
  2. For the second 10 kg of body weight, you give 50 ml per kg.
  3. For any weight above 20 kg, you give 20 ml per kg.

First, convert the child's weight from pounds to kilograms. To do this, divide the weight in pounds by 2.2.

For a child weighing 33 pounds:

  • The weight in kilograms is approximately 15 kg (33 divided by 2.2).

Now, calculate the fluid requirement:

  • For the first 10 kg of the child's weight, you need 1000 ml (10 kg multiplied by 100 ml).
  • For the remaining 5 kg, you need 250 ml (5 kg multiplied by 50 ml).

Adding these together, the total daily fluid requirement is 1250 ml.

So, the daily fluid requirement for a child weighing 33 pounds is 1250 ml.


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Related Questions

Correct Answer is D

Explanation

The nurse's priority assessment finding in an adolescent who experienced blunt trauma to the abdomen is low blood pressure (hypotension). Hypotension could indicate significant internal bleeding or hemorrhage, which is a life-threatening condition and requires immediate attention. The decreased blood pressure may be a sign of shock, and prompt intervention is needed to stabilize the client's condition and prevent further deterioration.

While all the other findings (respiratory rate, abdominal pain, and heart rate) are important and should be assessed and monitored, blood pressure is the most critical in this situation due to its potential association with severe internal injuries and the risk of hypovolemic shock.

Correct Answer is ["5.3."]

Explanation

To calculate the dose of acetaminophen for a child, the nurse needs to convert the child's weight from pounds to kilograms and then multiply it by the prescribed dose per kilogram. The formula is:

Weight in kg = Weight in lb / 2.2
Dose in mg = Weight in kg x Dose per kg
Dose in mL = Dose in mg / Concentration in mg/mL

Using the given information, the nurse can plug in the values and solve for the dose in mL:

Weight in kg = 28 / 2.2 = 12.73
Dose in mg = 12.73 x 10 = 127.3
Dose in mL = 127.3 / 120 x 5 = 5.3

Therefore, the nurse should administer 5.3 mL of acetaminophen to the child.

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