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Common Pediatric Conditions > Pediatrics
Exam Review
Dehydration in Children
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Total Questions : 29
Showing 29 questions, Sign in for moreQuestion 1:
A nurse is caring for a pediatric patient with suspected dehydration.
The child presents with diarrhea and vomiting.
What clinical manifestations would the nurse expect to observe in this patient?
The child presents with diarrhea and vomiting.
What clinical manifestations would the nurse expect to observe in this patient?
Answer and Explanation
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Question 2:
A client brings their child to the pediatric clinic, concerned about dehydration.
The child has been experiencing decreased urine output and dark-colored urine.
What etiological factors could contribute to the child's dehydration, as discussed in the text?
The child has been experiencing decreased urine output and dark-colored urine.
What etiological factors could contribute to the child's dehydration, as discussed in the text?
Answer and Explanation
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Question 3:
A nurse is assessing a child for dehydration.
Select all the clinical manifestations of dehydration in children mentioned in the text.
Select all the clinical manifestations of dehydration in children mentioned in the text.
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Question 4:
A client is concerned about their child's dehydration and seeks medical advice.
The child is lethargic and irritable.
What diagnostic evaluations might the healthcare provider perform to assess the child's condition, as mentioned in the text?
The child is lethargic and irritable.
What diagnostic evaluations might the healthcare provider perform to assess the child's condition, as mentioned in the text?
Answer and Explanation
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Question 5:
A nurse is caring for a child with dehydration and needs to assess their fluid balance.
What etiological factors can contribute to dehydration in children, as discussed in the text?
What etiological factors can contribute to dehydration in children, as discussed in the text?
Answer and Explanation
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Question 6:
A nurse is assessing a child for dehydration.
Which of the following should the nurse evaluate during the physical examination?
Which of the following should the nurse evaluate during the physical examination?
Answer and Explanation
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Question 7:
A client with a dehydrated child asks the nurse how to prevent dehydration.
What should the nurse educate the client about?
What should the nurse educate the client about?
Answer and Explanation
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Question 8:
A nurse is providing interventions for a dehydrated child.
Select all appropriate nursing interventions from the following options (A-E).
Select all appropriate nursing interventions from the following options (A-E).
Answer and Explanation
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Question 9:
A client inquires about the signs of electrolyte imbalances in a dehydrated child.
Which symptoms should the nurse mention?
Which symptoms should the nurse mention?
Answer and Explanation
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Question 10:
A nurse is assessing a dehydrated child's vital signs.
What parameters should the nurse monitor?
What parameters should the nurse monitor?
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Question 11:
A nurse is caring for a child with moderate dehydration.
What is the appropriate fluid deficit calculation for a child who weighs 12 kg?
What is the appropriate fluid deficit calculation for a child who weighs 12 kg?
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Question 12:
A nurse is calculating maintenance fluids for a child who weighs 18 kg.
According to the Holliday-Segar method, what would be the total maintenance fluid requirement for this child?
Answer and Explanation
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Question 13:
A nurse is caring for a child who has been admitted with severe dehydration.
The nurse understands that the child’s degree of dehydration is typically classified based on the loss of body weight.
The nurse observes dry mucous membranes, decreased urine output, and decreased skin turgor in the child.
Based on these observations, the nurse should classify the child’s dehydration as:.
The nurse understands that the child’s degree of dehydration is typically classified based on the loss of body weight.
The nurse observes dry mucous membranes, decreased urine output, and decreased skin turgor in the child.
Based on these observations, the nurse should classify the child’s dehydration as:.
Answer and Explanation
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Question 14:
A client’s mother is worried about her child who has been diagnosed with moderate dehydration.
The nurse reassures the mother and explains the steps involved in fluid replacement for a dehydrated child.
Which of the following statements by the mother indicates a correct understanding of the nurse’s explanation?
The nurse reassures the mother and explains the steps involved in fluid replacement for a dehydrated child.
Which of the following statements by the mother indicates a correct understanding of the nurse’s explanation?
Answer and Explanation
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Question 15:
A nurse is preparing to calculate fluid replacement for a dehydrated child.
Which of the following steps should the nurse take? (Select all that apply).
Which of the following steps should the nurse take? (Select all that apply).
Answer and Explanation
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Question 16:
A nurse is caring for a dehydrated child and needs to correct electrolyte imbalances as part of the treatment plan.
Which of the following actions should be taken by the nurse?
Which of the following actions should be taken by the nurse?
Answer and Explanation
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Question 17:
A client’s parent asks a nurse about how they can prevent their child from becoming dehydrated again in future.
Which of the following advice should be given by the nurse?
Which of the following advice should be given by the nurse?
Answer and Explanation
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Question 18:
A client is admitted to the hospital with dehydration and hyponatremia.
The nurse is preparing to start an intravenous (IV) infusion.
Which of the following IV fluids is the most appropriate for this client?
The nurse is preparing to start an intravenous (IV) infusion.
Which of the following IV fluids is the most appropriate for this client?
Answer and Explanation
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Question 19:
A client is admitted to the hospital with burns and hypovolemia.
The nurse is preparing to start an intravenous (IV) infusion.
Which of the following IV fluids is the most appropriate for this client?
The nurse is preparing to start an intravenous (IV) infusion.
Which of the following IV fluids is the most appropriate for this client?
Answer and Explanation
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Question 20:
A nurse is assessing a 7-year-old child who has diabetes mellitus. Which of the following findings should the nurse identify as a manifestation of hypoglycemia?
Answer and Explanation
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Question 21:
A client is admitted to the hospital with cerebral edema.
The nurse is preparing to start an intravenous (IV) infusion.
Which of the following IV fluids is the most appropriate for this client?
The nurse is preparing to start an intravenous (IV) infusion.
Which of the following IV fluids is the most appropriate for this client?
Answer and Explanation
A
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Question 22:
A client is admitted to the hospital with hypoalbuminemia and shock.
The nurse is preparing to start an intravenous (IV) infusion.
Which of the following IV fluids is the most appropriate for this client?
The nurse is preparing to start an intravenous (IV) infusion.
Which of the following IV fluids is the most appropriate for this client?
Answer and Explanation
A
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Question 23:
A nurse is preparing to administer Normal Saline (0.9% NaCl) to a client who has been diagnosed with hyponatremia.
The nurse understands that this type of intravenous fluid contains Sodium 154 mEq/L and Chloride 154 mEq/L.
It is often used in cases of hyponatremia, shock, maintenance fluids, and dehydration.
However, it should not be used in cases of hypernatremia, fluid overload, heart failure, edema, heart disease, cardiac decompensation, primary or secondary aldosteronism.
What should the nurse say to the client to explain why they are receiving this particular IV fluid?
The nurse understands that this type of intravenous fluid contains Sodium 154 mEq/L and Chloride 154 mEq/L.
It is often used in cases of hyponatremia, shock, maintenance fluids, and dehydration.
However, it should not be used in cases of hypernatremia, fluid overload, heart failure, edema, heart disease, cardiac decompensation, primary or secondary aldosteronism.
What should the nurse say to the client to explain why they are receiving this particular IV fluid?
Answer and Explanation
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Question 24:
A client who has been diagnosed with mild hyponatremia and has experienced gastric fluid loss from vomiting is about to receive Half Normal Saline (0.45% NaCl).
This intravenous fluid contains Sodium 77 mEq/L and Chloride 77 mEq/L.
It is contraindicated in cases of hypovolemia, hyponatremia, increased intracranial pressure, liver disease, trauma, and burns.
What should the client say to demonstrate understanding of the treatment plan?
This intravenous fluid contains Sodium 77 mEq/L and Chloride 77 mEq/L.
It is contraindicated in cases of hypovolemia, hyponatremia, increased intracranial pressure, liver disease, trauma, and burns.
What should the client say to demonstrate understanding of the treatment plan?
Answer and Explanation
A
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Question 25:
A nurse is caring for a client who has suffered acute blood loss and is experiencing hypovolemia due to third-space fluid shifts.
The physician orders Lactated Ringer’s solution for fluid resuscitation.
The nurse knows that this solution contains Sodium 130 mEq/L, Chloride 109 mEq/L, Potassium 4 mEq/L, Calcium 3 mEq/L, and Lactate 28 mEq/L.
Which of the following statements are true regarding Lactated Ringer’s solution? (Select all that apply).
The physician orders Lactated Ringer’s solution for fluid resuscitation.
The nurse knows that this solution contains Sodium 130 mEq/L, Chloride 109 mEq/L, Potassium 4 mEq/L, Calcium 3 mEq/L, and Lactate 28 mEq/L.
Which of the following statements are true regarding Lactated Ringer’s solution? (Select all that apply).
Answer and Explanation
A
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Question 26:
A client is about to receive D10W (10% dextrose in water) as part of their treatment plan.
The nurse explains that this intravenous fluid contains Dextrose 100 g/L and Water 900 mL.
Which of the following statements made by the client indicates a correct understanding of their treatment?
The nurse explains that this intravenous fluid contains Dextrose 100 g/L and Water 900 mL.
Which of the following statements made by the client indicates a correct understanding of their treatment?
Answer and Explanation
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Question 27:
A nurse is assessing a dehydrated child for hydration status.
Select all the clinical signs and symptoms of dehydration that the nurse should consider.
Select all the clinical signs and symptoms of dehydration that the nurse should consider.
Answer and Explanation
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Question 28:
A nurse is caring for a child with severe dehydration who weighs 14 kg.
What would be the total hourly fluid replacement rate for this child?
What would be the total hourly fluid replacement rate for this child?
Answer and Explanation
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Question 29:
A nurse is providing fluid replacement therapy to a dehydrated child.
What should the nurse do to ensure comprehensive care during the treatment and management of dehydration in children?
What should the nurse do to ensure comprehensive care during the treatment and management of dehydration in children?
Answer and Explanation
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