Which factor is the most important in determining the rate of fluid replacement in the dehydrated child?
a. The child's weight
b. The type of dehydration
c. Urine output
d. Serum potassium level
B
Isotonic and hypotonic dehydration resuscitation involves fluid replacement over 24 hours. Hypertonic dehydration involves a slower replacement rate to prevent a sudden decrease in the sodium level. The child's weight determines the amount of fluid needed, not the rate of fluid replacement. One milliliter of body fluid is equal to 1 gram of body weight; therefore a loss of 1 kilogram (2.2 pounds) is equal to 1 liter of fluid. Urine output is not a consideration for determining the rate of administration of replacement fluids. Potassium level is not as significant in determining the rate of fluid replacement as the type of dehydration.
You might also like to view...
The nurse is assessing a patient's pain while the patient awaits a cholecystectomy. The patient is tearful, hesitant to move, and grimacing
When asked, the patient rates his pain as a 2 at this time using a 0-to-10 pain scale. How should the nurse best respond to this assessment finding? A) Remind the patient that he is indeed experiencing pain. B) Reinforce teaching about the pain scale number system. C) Reassess the patient's pain in 30 minutes. D) Administer an analgesic and then reassess.
If a controlled substance is accidentally spilled or contaminated, the nurse will first:
1. obtain another dose from the narcotic control system. 2. document the occurrence in the medication record. 3. clean up the spill and notify the supervisor. 4. ask another nurse to cosign the inventory record describing the situation.
In general, nurses using the program planning model would begin by
A. Assessing the community B. Clarifying the health problem C. Understanding the underlying factors that contribute to the problem D. Developing an intervention
One of your patients has an IV infusing at a rate of 40 mL/h. The IV bag contains a solution of 500 mL NS with 20,000 units of heparin
How many units is the patient receiving in 24 hours? __________ units/24 h Fill in the blank(s) with correct word