What assessment should the nurse make before initiating an IV infusion of dextrose in normal saline solution with 20 mEq KCL per liter for a child hospitalized with dehydration?

Fluid intake

Urine output

Capillary refill

Number of stools

Answer and Explanation

The Correct Answer is B

Choice A reason:

Assessing fluid intake is important in managing dehydration, but it is not the most critical assessment before initiating an IV infusion containing potassium chloride (KCL). Fluid intake provides information about the child’s hydration status but does not directly indicate kidney function. Since potassium can cause hyperkalemia if not properly excreted, monitoring urine output is more crucial.

Choice B reason:

Urine output is the most important assessment before initiating an IV infusion containing potassium chloride (KCL). This is because adequate urine output indicates that the kidneys are functioning properly and can excrete excess potassium. Administering potassium chloride without ensuring proper kidney function can lead to hyperkalemia, a potentially life-threatening condition. Therefore, checking urine output is essential to prevent complications.

Choice C reason:

Capillary refill is a useful assessment for evaluating peripheral perfusion and hydration status. However, it does not provide direct information about kidney function or the body’s ability to excrete potassium. While capillary refill can be part of the overall assessment, it is not the most critical factor before administering an IV infusion with potassium chloride.

Choice D reason:

The number of stools is relevant in assessing dehydration, especially if the child has been experiencing diarrhea. However, like fluid intake, it does not directly indicate kidney function. Monitoring urine output is more important before administering potassium chloride to ensure the kidneys can handle the additional potassium load.

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Correct Answer is D

Explanation

Choice A reason:

Marbles are not a safe play activity for a 3-year-old in a spica cast. Marbles are small and can pose a choking hazard. Additionally, playing with marbles requires fine motor skills and movement that may be restricted by the cast.

Choice B Reason:

Watching a movie is a safe activity but does not provide developmental benefits. While it can keep the child entertained, it does not engage the child in active play or promote cognitive and motor development.

Choice C Reason:

A game of checkers may be too advanced for a 3-year-old. It requires understanding of rules and strategic thinking, which may be beyond the developmental stage of a child this age. Additionally, it may not be engaging enough to hold the child’s attention.

Choice D Reason:

Playing with a toy telephone is an appropriate activity for a 3-year-old in a spica cast. It is safe and can be done while the child is in a stationary position. This activity encourages imaginative play and can help with language development and social skills.

A. Your child’s diet will consist of low-fat, low-carbohydrate foods. B. You will need to decrease the number of calories in your child’s diet. C. You will need to avoid adding salt to your child’s food. D. Your child’s diet will need an increased amount of protein.

Correct Answer is C

Explanation

Choice A reason:

A low-fat, low-carbohydrate diet is not specifically recommended for children with acute glomerulonephritis. The primary dietary concern for these children is managing fluid retention and blood pressure, which is more directly influenced by salt intake rather than fat or carbohydrate intake.

Choice B Reason:

Decreasing the number of calories in the child’s diet is not a primary recommendation for managing acute glomerulonephritis. While maintaining a healthy weight is important, the focus should be on reducing salt intake to manage edema and blood pressure.

Choice C Reason:

Avoiding salt is crucial for children with acute glomerulonephritis. Salt can lead to water retention, which exacerbates edema and can increase blood pressure. Therefore, it is important to limit salt intake to help manage these symptoms.

Choice D Reason:

Increasing the amount of protein in the diet is not recommended for children with acute glomerulonephritis. In fact, protein intake may need to be limited because the kidneys are less able to filter waste products from protein metabolism. Excessive protein can put additional strain on the kidneys.

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What assessment should the nurse make before initiating an IV infusion of dextrose in normal saline solution with 20 mEq KCL per liter for a child hospitalized with dehydration?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following would be the most appropriate play activity for a 3-year-old in a spica cast, considering both safety and development?

Correct Answer is D

Explanation

The nurse is teaching the parent about the diet of a child experiencing severe edema associated with acute glomerulonephritis. Which information should the nurse include in the teaching?

Correct Answer is C

Explanation

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The nurse is teaching the parent about the diet of a child experiencing severe edema associated with acute glomerulonephritis. Which information should the nurse include in the teaching?

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