What finding is the most reliable guide to the adequacy of fluid replacement for a small child with burns?
a. Absence of thirst
b. Falling hematocrit
c. Increased seepage from burn wound
d. Urinary output of 1 to 2 ml/kg of body weight/hr
ANS: D
Replacement fluid therapy is delivered to provide a urinary output of 30 ml/hr in older children or 1 to 2 ml/kg of body weight/hr for children weighing less than 30 kg (66 lb). Thirst is the result of a complex set of interactions and is not a reliable indicator of hydration. Thirst occurs late in dehydration. A falling hematocrit would be indicative of hemodilution. This may reflect fluid shifts and may not accurately represent fluid replacement therapy. Increased seepage from a burn wound would be indicative of increased output, not adequate hydration.
You might also like to view...
Special facilities designed to care for the mentally ill in the past were known as ______________
Answer:
The nurse caring for a client whose last menstrual period was four weeks ago would anticipate the use of which of the following tests to positively confirm a pregnancy?
A) Doppler auscultation of fetal heart tones B) pelvic x-ray C) abdominal ultrasound D) transvaginal ultrasound
Clients receiving which of the following special diets would have vegetable intake limited to juice or blended items?
1. Clear liquid 2. Full liquid 3. Mechanical soft 4. Pureed
A patient comes to the ED after slipping on some chalk in her classroom. She did not fall far and was able to walk with the assistance of one of her students. What type of fracture does this patient likely have?
a) Closed, non displaced b) Oblique c) Impacted d) Incomplete