What assessment should the nurse make before initiating an intravenous (IV) infusion of dextrose 5% in 0.9% normal saline solution with 10 mEq of potassium chloride for a child hospitalized with dehydration?
a. Fluid intake
b. Number of stools
c. Urine output
d. Capillary refill
C
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A Fluid intake does not give information about renal function.
B Stool count sheds light on intestinal function. Renal function is the concern
before potassium chloride is added to an IV solution.
C Potassium chloride should never be added to an IV solution in the presence of
oliguria or anuria (urine output less than 0.5 mL/kg/hr).
D Assessment of capillary refill does not provide data about renal function.
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