Nurses must be alert for increased fluid requirements when a child has:
a. Fever. c. Congestive heart failure.
b. Mechanical ventilation. d. Increased intracranial pressure (ICP).
ANS: A
Fever leads to great insensible fluid loss in young children because of increased body surface area relative to fluid volume. Respiratory rate influences insensible fluid loss and should be monitored in the mechanically ventilated child. Congestive heart failure is a case of fluid overload in children. ICP does not lead to increased fluid requirements in children.
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