1|Page
NSG 3600 Exam 3 Newest Verified Exam With
Complete Questions And Correct Detailed Answers|
Newest Exam!!!
A 4-month-old is brought to the emergency department
with severe dehydration. The heart rate is 198, and her
blood pressure is 68/38. The infant's anterior fontanel is
sunken. The nurse notes that the infant does not cry when
the intravenous lineis inserted. The child's parents state
that she has not "held anything down" in 18 hours. The
nurse obtains a finger-stick blood sugar of 94. Which
would the nurse expect to do immediately?
1. Administer a bolus of normal saline.
2. Administer a bolus of D10W.
3. Administer a bolus of normal saline with 5% dextrose
added to the solution.
4. Offer the child an oral rehydrating solution such as
Pedialyte. - Answers-1. Dehydration is corrected with the
administration of an isotonic solution, such as normal
saline or lactated Ringer solution.
2. Solutions containing dextrose should never be
administered in bolus form because they may result in
cerebral edema.
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3. Solutions containing dextrose should never be
administered in bolus form because they may result in
cerebral edema.
4. Severe dehydration is not usually corrected with oral
solutions; children with altered levels of consciousness
should be kept NPO.
TEST-TAKING HINT: The test taker should immediately
eliminate answers 2 and 3 because they both suggest
administering glucose in bolus form, which is always
contraindicated in pediatric clients. Answer 4 should be
eliminated because the infant is severely dehydrated and
not responding to painful stimulation, which is suggested
by the lack of a cry on intravenous insertion.
The nurse is caring for a 2-year-old child who was
admitted to the pediatric unit for moderate dehydration due
to vomiting and diarrhea. The child is restless with periods
of irritability. The child is afebrile with a heart rate of 148
and a blood pressure of 90/42. Baseline laboratory tests
reveal the following: Na 152, Cl 119, and glucose 115. The
parents state that the child has not urinated in 12 hours.
After establishing a saline lock, the nurse reviews the
physician's orders. Which order should the nurse
question?
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1. Administer a saline bolus of 10 mL/kg, which may be
repeated if the child does not urinate.
2. Recheck serum electrolytes in 12 hours.
3. After the saline bolus, begin maintenance fluids of D5
1⁄4 NS with 10 mEq KCl/L.
4. Give clear liquid diet as tolerated. - Answers-1. Fluid
boluses of normal saline are administered according to the
child's body weight. It is not unusual to have to repeat the
bolus multiple times in order to see an improvement in the
child's condition.
2. It is important to monitor serum electrolytes frequently in
the dehydrated child.
3. Potassium is contraindicated because the child has not
yet urinated. Potassium is not added to the maintenance
fluid until kidney function has been verified.
4. The child with dehydration secondary to vomiting and
diarrhea is placed on a clear liquid diet.
TEST-TAKING HINT: Be aware of the usual ways in which
dehydration is treated. Answer 3 should be selected
because the description states that the child has not
urinated.
The parent of a 5-year-old states that the child has been
having diarrhea for 24 hours, vomited twice 2 hours ago,
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and now claims to be thirsty. The parent asks what to offer
the child because the child is refusing Pedialyte. Which is
the nurse's most appropriate response?
1. "You can offer clear diet soda such as Sprite and ginger
ale."
2. "Pedialyte is really the best thing for your child, who, if
thirsty enough, will eventually drink it."
3. "Pedialyte is really the best thing for your child. Allow
your child some choice in the way to take it by offering
small amounts in a spoon, medicine cup, or syringe."
4. "It really does not matter what your child drinks as long
as it is kept down. Try offering small amounts of fluids in
medicine cups." - Answers-1. When Pedialyte is not
tolerated, it is usually recommended that clear sodas and
juices be diluted. Diet beverages are not recommended
because the sugar is needed to help the sodium be
reabsorbed.
2. Pedialyte is the best choice. If the child is not
encouraged to drink Pedialyte, the child may become
severely dehydrated. Other ways to encourage oral
rehydration need to be considered.
3. Pedialyte is the first choice, as recommended by the
American Academy of Pediatrics. Offering the child
appropriate choices may allow the child to feel empowered
NSG 3600 Exam 3 Newest Verified Exam With
Complete Questions And Correct Detailed Answers|
Newest Exam!!!
A 4-month-old is brought to the emergency department
with severe dehydration. The heart rate is 198, and her
blood pressure is 68/38. The infant's anterior fontanel is
sunken. The nurse notes that the infant does not cry when
the intravenous lineis inserted. The child's parents state
that she has not "held anything down" in 18 hours. The
nurse obtains a finger-stick blood sugar of 94. Which
would the nurse expect to do immediately?
1. Administer a bolus of normal saline.
2. Administer a bolus of D10W.
3. Administer a bolus of normal saline with 5% dextrose
added to the solution.
4. Offer the child an oral rehydrating solution such as
Pedialyte. - Answers-1. Dehydration is corrected with the
administration of an isotonic solution, such as normal
saline or lactated Ringer solution.
2. Solutions containing dextrose should never be
administered in bolus form because they may result in
cerebral edema.
,2|Page
3. Solutions containing dextrose should never be
administered in bolus form because they may result in
cerebral edema.
4. Severe dehydration is not usually corrected with oral
solutions; children with altered levels of consciousness
should be kept NPO.
TEST-TAKING HINT: The test taker should immediately
eliminate answers 2 and 3 because they both suggest
administering glucose in bolus form, which is always
contraindicated in pediatric clients. Answer 4 should be
eliminated because the infant is severely dehydrated and
not responding to painful stimulation, which is suggested
by the lack of a cry on intravenous insertion.
The nurse is caring for a 2-year-old child who was
admitted to the pediatric unit for moderate dehydration due
to vomiting and diarrhea. The child is restless with periods
of irritability. The child is afebrile with a heart rate of 148
and a blood pressure of 90/42. Baseline laboratory tests
reveal the following: Na 152, Cl 119, and glucose 115. The
parents state that the child has not urinated in 12 hours.
After establishing a saline lock, the nurse reviews the
physician's orders. Which order should the nurse
question?
,3|Page
1. Administer a saline bolus of 10 mL/kg, which may be
repeated if the child does not urinate.
2. Recheck serum electrolytes in 12 hours.
3. After the saline bolus, begin maintenance fluids of D5
1⁄4 NS with 10 mEq KCl/L.
4. Give clear liquid diet as tolerated. - Answers-1. Fluid
boluses of normal saline are administered according to the
child's body weight. It is not unusual to have to repeat the
bolus multiple times in order to see an improvement in the
child's condition.
2. It is important to monitor serum electrolytes frequently in
the dehydrated child.
3. Potassium is contraindicated because the child has not
yet urinated. Potassium is not added to the maintenance
fluid until kidney function has been verified.
4. The child with dehydration secondary to vomiting and
diarrhea is placed on a clear liquid diet.
TEST-TAKING HINT: Be aware of the usual ways in which
dehydration is treated. Answer 3 should be selected
because the description states that the child has not
urinated.
The parent of a 5-year-old states that the child has been
having diarrhea for 24 hours, vomited twice 2 hours ago,
, 4|Page
and now claims to be thirsty. The parent asks what to offer
the child because the child is refusing Pedialyte. Which is
the nurse's most appropriate response?
1. "You can offer clear diet soda such as Sprite and ginger
ale."
2. "Pedialyte is really the best thing for your child, who, if
thirsty enough, will eventually drink it."
3. "Pedialyte is really the best thing for your child. Allow
your child some choice in the way to take it by offering
small amounts in a spoon, medicine cup, or syringe."
4. "It really does not matter what your child drinks as long
as it is kept down. Try offering small amounts of fluids in
medicine cups." - Answers-1. When Pedialyte is not
tolerated, it is usually recommended that clear sodas and
juices be diluted. Diet beverages are not recommended
because the sugar is needed to help the sodium be
reabsorbed.
2. Pedialyte is the best choice. If the child is not
encouraged to drink Pedialyte, the child may become
severely dehydrated. Other ways to encourage oral
rehydration need to be considered.
3. Pedialyte is the first choice, as recommended by the
American Academy of Pediatrics. Offering the child
appropriate choices may allow the child to feel empowered
