A nurse is caring for a 5-year-old child with a major burn. The health care provider has written a prescription to notify the health care provider if urine output falls to or below 2 mL/kg/hr. The child weighs 55 lb
The nurse should notify the health care provider if the milliliters of urine output is at or below _____ for an hour. Record your answer as a whole number.
What will be an ideal response?
ANS:
50
To calculate the child's weight in kilograms, the weight in pounds is divided by 2.2. That number is then multiplied by 2 to get the amount expected for a 1-hour period: 55/2.2 = 25 kg; 25 kg ? 2 mL = 50 mL/hr.
The primary emphasis during the emergent phase is the treatment of burn shock and the management of pulmonary status. Monitoring vital signs, output, fluid infusion, and respiratory parameters are ongoing activities in the hours immediately after injury. Intravenous infusion is begun immediately and is regulated to maintain a urinary output of at least 1 to 2 mL/kg in children weighing less than 30 kg (66 pounds).
You might also like to view...
A patient has just been diagnosed with acute gastritis after presenting in distress to the emergency department with abdominal symptoms. What would be the nursing care most needed by the patient at this time?
A) Teaching the patient about necessary nutritional modification B) Helping the patient weigh treatment options C) Teaching the patient about the etiology of gastritis D) Providing the patient with physical and emotional support
You are caring for a client with a stage IV leg ulcer. You are closely monitoring the client for sepsis. What would indicate that sepsis has occurred and that you should notify the physician of immediately?
A) The client feels restless and hungry. B) The client exhibits an increased urinary output. C) The client's heart rate is greater than 90 beats/minute. D) The client's respiratory rate is less than 20 breaths/minute.
A client eats a large meal and then takes her medications. Usually food has which effect on drug dissolution and absorption?
a. Enhances b. Increases c. Decreases d. No effect
A nurse is conducting a nursing health history. Which component will the nurse address?
a. Nurse's concerns b. Patient expectations c. Current treatment orders d. Nurse's goals for the patient