A nine-month-old infant is hospitalized with vomiting and diarrhea. The mother questions why her child needed hospitalization since her school-age nephew had the same symptoms and was treated at home
The nurse would explain that an infant is more at risk for dehydration than a school-age child because: Standard Text: Select all that apply. 1. Infants have a lower proportion of their body weight as water.
2. The percentage of extra-cellular fluid is higher in the infant than the school-age child.
3. School-age children have a larger body surface area.
4. The school-age child's kidneys are more mature and better able to conserve water.
5. The metabolic rate of the school-age child is higher.
2,4
Rationale 1: Infants have a higher percentage of body weight as water.
Rationale 2: This statement is accurate.
Rationale 3: Body surface area is an assessment of skin surface. BSA compares the height and weight of the child and is greatest in infancy.
Rationale 4: This statement is accurate.
Rationale 5: Infants have a higher metabolic rate than a school-age child.
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A client has a history of dislocations of the same joint. The nurse understands that this is most likely due to an insufficient deposit of collagen during the healing process leading to which of the following?
A) Loss of function B) Allergic reaction C) Lack of mobility D) Reduced tensile strength
The nurse practitioner (NP) infiltrates with lidocaine the area around a lesion to be incised. For optimal anesthesia, the NP should anticipate a waiting period of
a. 5 to 10 minutes. b. to hour. c. no significant time. d. optimally, 1 hour.
A nurse is implementing tertiary prevention strategies as part of the quality management process. Which of the following best describes a strategy the nurse would have used?
a. All new employees complete a program on fire safety that details what to do in the event of a fire. b. At the yearly employee picnic, teams compete in putting out trash can fires and in racing while carrying mock victims, using safe evacuation techniques. c. After evaluation of response to an actual fire, new procedures implemented in the fire response protocol are distributed to employees. d. Mock fire drills are carried out twice a year to assess response and readiness in the event of a real fire.
The primary nursing intervention necessary to prevent bacterial endocarditis is to:
a. Institute measures to prevent dental procedures. b. Counsel parents of high risk children about prophylactic antibiotics. c. Observe children for complications such as embolism and heart failure. d. Encourage restricted mobility in susceptible children.