A child with acute renal failure wants to drink a bottle of Gatorade because he is thirsty. The nurse must explain that:
1. Gatorade has electrolytes in it, so it is a healthy drink for you.
2. Water would be a better alternative because it does not contain electrolytes.
3. The balance of how much fluid the child can have per day has to be regulated, and a whole bottle of Gatorade would be too much.
4. Milk would be a better choice because of the calcium concentration.
3
Feedback
1. The entire bottle of Gatorade could put the child into fluid overload. The child must have a strict I/O.
2. Water can cause the same issue of fluid overload and would need to be monitored closely. This does not address the child's wants and would not be an appropriate response.
3. Explaining about needing a fluid balance and offering a particular amount may satisfy the child's wants and still maintain the I/O balance.
4. Milk is a nutritionally better option, but does not address the wants of the child. Excessive milk can cause issues with the I/O balance as well.
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