What is the most important factor in determining the rate of fluid replacement in the dehydrated child?
The type of dehydration
The child's weight
Urine output
Serum potassium level
The Correct Answer is C
The most important factor in determining the rate of fluid replacement in a dehydrated child
is urine output. Urine output is a crucial indicator of renal perfusion and hydration status.
Monitoring urine output allows healthcare professionals to assess the child's response to fluid
replacement therapy and adjust the rate accordingly.
The type of dehydration in (Option A) is incorrect. The type of dehydration, is important in
determining the appropriate fluid composition for rehydration but does not directly dictate the
rate of fluid replacement.
The child’s weight in (Option B) is incorrect. The child's weight, is considered when
calculating the maintenance fluid requirements, but it does not solely determine the rate of
fluid replacement for dehydration.
Serum potassium level in (Option D) is incorrect. The serum potassium level, is important to
monitor in a dehydrated child, especially in cases of severe dehydration, as electrolyte
imbalances may occur. However, it is not the most important factor in determining the rate of
fluid replacement. Fluid replacement is primarily guided by assessing the child's hydration
status through parameters such as urine output and clinical assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Epispadias is a congenital condition in which the urethral opening is not located at the tip of the penis as is typical but rather along the ventral surface (underside) of the penis. In severe cases, the urethral opening may extend all the way to the bladder.
absence of a urethral opening in (option A) is incorrect because it, describes a condition called urethral agenesis or aplasia, where the urethral opening is completely absent. This is a different condition from epispadias.
a penis shorter than usual for age, in (option B) is incorrect because it is not specific to epispadias and could be caused by various factors unrelated to the condition.
a urethral opening along the dorsal surface (topside) of the penis in (option D) is incorrect because it, is a condition called hypospadias. Hypospadias is another congenital anomaly where the urethral opening is located on the underside or along the ventral surface of the penis, but it is not synonymous with epispadias.
Therefore, epispadias specifically refers to the urethral opening being situated along the ventral surface of the penis.
Correct Answer is B
Explanation
During this stage, adolescents typically experience a shift from a primary focus on family to
an increased emphasis on peer relationships. However, it is still important for adolescents to
maintain a connection with their family and enjoy spending time with family members. This
behaviour indicates a healthy balance between peer interactions and maintaining positive
relationships with family.
The adolescent is self -absorbed and self-centred and has sudden mood swings in (option A)
is incorrect because it describes behaviours associated with emotional and psychological
challenges commonly seen in adolescence but does not indicate appropriate psychosocial
development.
The adolescent seeks validation for socially acceptable behaviour from older adults in (option
C) is incorrect because seeking validation for socially acceptable behaviour from older adults,
may indicate a lack of autonomy and difficulty in developing a sense of personal identity,
which is important for healthy psychosocial development in adolescence.
Conformity with the peer group increases in late adolescence in (Option D) is incorrect
because stating that conformity with the peer group increases in late adolescence, is not
entirely accurate. While peer influence is significant during adolescence, there is also a
growing emphasis on individuality and the development of one's own identity. Adolescents
may experience a balance between conforming to certain aspects of their peer group and
asserting their unique traits and interests.
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