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:

For the first 10 kg of body weight, you give 100 ml per kg.
For the second 10 kg of body weight, you give 50 ml per kg.
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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Correct Answer is C

Explanation

Infants with gastroesophageal reflux should be placed in an infant seat or an upright position after feedings to help prevent regurgitation and aspiration of stomach contents into the airway. Placing the infant in an upright position facilitates gravity-assisted movement of stomach contents down and away from the esophagus, reducing the likelihood of reflux. It is essential to ensure that the infant seat is appropriate for the child's age and size and that the infant is safely secured within it.
The other options are not recommended for infants with gastroesophageal reflux:
When caring for an infant with gastroesophageal reflux (GER), the nurse should place the infant in an infant seat or an upright position following feedings. Placing the infant in an upright position helps to reduce the risk of reflux and regurgitation. Gravity can assist in keeping the stomach contents from flowing back into the esophagus, reducing the potential for discomfort and reflux symptoms.
The other options are not recommended for an infant with GER:
A. Placing the infant in a prone position (lying on the stomach) after feedings can increase the risk of choking and aspiration. It is essential to avoid this position, especially after feeding, to reduce the risk of reflux and its complications.
B. Placing the infant on his left side is not the preferred position for GER management. While the left side is often recommended for sleeping to reduce the risk of sudden infant death syndrome (SIDS), it is not specifically indicated for GER management after feedings.
D. Placing the infant on his right side is also not the preferred position for GER management after feedings. The right side does not provide the benefits of an upright position in reducing the risk of reflux and regurgitation.

A. there should be a management regimen for electrolyte imbalance B. The child will recover fully requiring no further treatment in the future C. the child will need prophylactic antibiotics for invasive procedures D. a diagnosis of RF may have genetic implications for future offspring

Correct Answer is C

Explanation

Rheumatic fever (RF) is a complication that can occur after an untreated or inadequately treated streptococcal throat infection (strep throat). It can affect the heart, joints, skin, and brain. One important aspect of managing RF is to prevent further episodes of strep throat, as it can trigger recurrent RF. Therefore, the child with a history of RF will require prophylactic antibiotics (usually penicillin or a related antibiotic) before certain invasive procedures, dental work, or surgeries to prevent strep throat and subsequent recurrence of RF.

Option A is not specific to rheumatic fever, and while electrolyte imbalances may be monitored and managed in certain cases of severe illness, it is not a core aspect of managing RF.
Option B is not accurate. While many children with RF do recover fully with appropriate treatment, they may be at risk of developing rheumatic heart disease, which can lead to long-term complications if not managed properly.
Option D is not a direct implication of RF. Rheumatic fever is not a genetically inherited condition, but a complication of strep throat caused by a bacterial infection. There is no evidence to suggest that having RF would directly affect the genetic implications for future offspring.

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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.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for an infant who has gastroesophageal reflux. The nurse should place the infant in which of the following positions following feedings?

Correct Answer is C

Explanation

The nurse is providing teaching to parents of a child diagnosed with rheumatic fever (RF). Which would be included within the teaching plan?

Correct Answer is C

Explanation

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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.