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What is the daily fluid requirement (total in 24 hours) for a child who weighs 70.4lb? Do not use a label- it is ml. in the answer.(Answer in 24-hour clock system)

1740

134056

Answer and Explanation

The Correct Answer is A

Fluid Requirement (mL/24 hours) = Weight (kg) × Fluid Requirement (mL/kg)

Given that the child weighs 70.4 pounds, we first need to convert this weight to kilograms (1 lb = 0.453592 kg):

Weight in kg = 70.4 lb × 0.453592 kg/lb ≈ 31.89 kg

Now, let's calculate the fluid requirement using the given choices:

A) 1740:

Fluid Requirement = 31.89 kg × 55 mL/kg = 1753.95 mL

B) 134056:

This number is significantly larger than any reasonable fluid requirement and is likely an error.

C) 2:

This value is far too low to represent the fluid requirements of a child.

D) 12:

This value is also too low to represent the fluid requirements of a child.

So, the correct answer is A) 1740 mL. The child's estimated daily fluid requirement would be around 1740 mL in a 24-hour period, based on a weight of 70.4 pounds.

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Correct Answer is A

Explanation

A) Vaccinations to prevent pneumococcal and Haemophilus influenzae type B meningitis are available.

Explanation: This statement is true. Vaccinations to prevent certain types of bacterial meningitis are available. Pneumococcal and Haemophilus influenzae type B (Hib) vaccines are included in routine childhood immunization schedules to protect against the bacteria that can cause meningitis and other serious infections. These vaccines have significantly reduced the incidence of bacterial meningitis in infants and children.

B) Often a genetic predisposition to meningitis is found.

Explanation: This statement is generally false. While there may be some genetic factors that influence susceptibility to infections, including meningitis, genetic predisposition is not a primary consideration when discussing the risk of meningitis. Meningitis is more commonly caused by bacterial or viral infections, and genetic predisposition is not a significant factor in its occurrence.

C) Meningitis rarely occurs during infancy.

Explanation: This statement is false. Meningitis can occur in infants, including newborns. In fact, infants are one of the age groups at higher risk for meningitis due to their underdeveloped immune systems and susceptibility to infections. Bacterial meningitis, in particular, can be severe and life-threatening in infants.

D) Vaccination to prevent all types of meningitis is now available.

Explanation: This statement is not entirely accurate. While vaccinations are available to prevent certain types of bacterial meningitis (such as pneumococcal and Hib meningitis), there is no single vaccine that can prevent all types of meningitis. Meningitis can be caused by various bacteria, viruses, and other pathogens, and the vaccines target specific ones. It's important for caregivers to ensure that their infants receive recommended vaccines to protect against the most common causes of meningitis.

A. Seizure Precautions B. Ambulation C. Daily weight D. Keep bed position flat

Correct Answer is C

Explanation

A) Seizure Precautions:

While seizure precautions are important in certain clinical situations, they are not directly related to the excess fluid and generalized edema associated with nephrotic syndrome. Nephrotic syndrome is primarily characterized by proteinuria, hypoalbuminemia, and fluid retention, which can lead to edema. Seizure precautions would not directly address the fluid imbalance in this context.

B) Ambulation:

Ambulation involves walking or movement and is not a priority intervention for addressing excess fluid and generalized edema. The primary concern in nephrotic syndrome with fluid accumulation is to manage the fluid balance and prevent further complications related to edema, such as respiratory distress or compromised circulation.

C) Daily weight:

This is the correct priority intervention. Daily weight monitoring is crucial in managing fluid balance and assessing the effectiveness of treatment in a child with nephrotic syndrome and fluid accumulation. Sudden weight gain can indicate worsening edema, while weight loss might indicate a response to treatment. Daily weight monitoring provides essential information to adjust fluid and medication management accordingly.

D) Keep bed position flat:

While maintaining a flat bed position may help improve venous return and fluid distribution, it is not the priority intervention for managing excess fluid and generalized edema in a child with nephrotic syndrome. Monitoring daily weight and adjusting treatment based on weight changes are more directly related to addressing the fluid imbalance.

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What is the daily fluid requirement (total in 24 hours) for a child who weighs 70.4lb? Do not use a label- it is ml. in the answer.(Answer in 24-hour clock system)

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Naxlex Comprehensive Predictor Exams

The mother of a 1-month-old infant tells the nurse she worries that her baby will get meningitis like the child's older brother had when he was an infant. The nurse should base her response on which of the following?

Correct Answer is A

Explanation

A toddler diagnosed with nephrotic syndrome has a nursing diagnosis of excess fluid related to fluid accumulation (generalized edema). Which nursing intervention would be the priority to include in the nursing plan of care?

Correct Answer is C

Explanation

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