Which of the following is an appropriate consideration for pediatric fluid replacement?
Using the same fluid replacement guidelines as adults.
Providing excessive fluid replacement to prevent dehydration.
Adjusting fluid replacement based on weight and age.
Ignoring fluid replacement and relying solely on oral intake.
The Correct Answer is C
A. Pediatric fluid replacement guidelines differ from those for adults due to differences in physiology and fluid requirements.
B. Providing excessive fluid replacement can lead to complications such as fluid overload; fluid replacement should be tailored to the individual child's needs.
C. Adjusting fluid replacement based on weight and age is essential in pediatric patients to ensure appropriate hydration and electrolyte balance.
D. Ignoring fluid replacement can lead to dehydration, especially in cases of illness or surgical procedures, where fluid needs may be increased.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A,B,C,D
Explanation
A. Inspection: The nurse begins with a visual examination of the abdomen, looking for any abnormalities in skin color, shape, or movement.
B. Auscultation: Next, the nurse listens to the bowel sounds using a stethoscope. This step is performed before palpation to avoid altering the bowel sounds.
C. Superficial palpation: The nurse gently presses the surface of the abdomen to assess for any tenderness, distension, or masses.
D. Deep palpation: Finally, the nurse applies deeper pressure to feel for any deeper abnormalities in the abdominal organs.
Correct Answer is D
Explanation
A. Broth may be too heavy for the stomach and could exacerbate symptoms in a child with acute gastroenteritis.
B. Water alone may not adequately replace lost electrolytes, which are crucial in cases of gastroenteritis.
C. Diluted apple juice may not provide the necessary electrolyte replacement needed for fluid resuscitation in acute gastroenteritis.
D. Oral rehydration solution is specifically formulated to replace lost fluids and electrolytes and is the recommended fluid for children with acute gastroenteritis.
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