Fluid and Electrolyte Pediatric Case
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Answers 2026/2027 A+ Graded 100%
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What are the principles of fluid balance in infants? - ANS -infants have a greater percent
of fluid in the extracellular compartment compared to adults; therefore, they have greater
and more rapid fluid losses.
More than half of an infant's total birth weight is in the extracellular compartment. Infants
lose a large amount of fluid at birth and they maintain a larger amount of extracellular
fluid than adults until about age 2 years.
What is Ricky's daily maintenance fluid requirement? - ANS -340
The nurse suspects that Rickey has an excess of fluid and that he may be experiencing
water intoxication. What findings confirm this assessment? - ANS -- specific gravity of
1.005
- moist rales
- irritability
Ricky is admitted to the pediatric unit with a prescription for diuretics. What is a priority
nursing intervention? - ANS -implement seizure precautions
Based on Ricky's weight of 3.6 what is the correct amount of furosemide to me
administered? - ANS -0.68
What nutrition is best suited for 3 week old Ricky, given that his mother has chosen
formula feeding? - ANS -undiluted commercial iron-fortified formula for the first 6
months, not to exceed 32 oz a day.
Iron fortified formula provides all the nutrients an infant needs for the first 6 months of
life.
Based on weight loss, what degree of dehydration does Ricky exhibit? - ANS -Moderate
, Ricky has lost 0.9 kgs, which is approximately 9% of his body weight. This is consistent
with moderate dehydration.
The nurse completes a head-to-toe assessment on Ricky. What additional findings
support the assessment of moderate dehydration? - ANS -- Oliguria
- irritability
- slightly rapid respirations
- mod thirst
Irritability is characteristic of moderate dehydration
Respiratory rate increases with each degree of dehydration
Moderate thirst characterizes moderate dehydration.
Oliguria is present in moderate dehydration and can progress to anuria at the severe
level.
Submit
Ricky's temp is 38.5. What impact does this have on his fluid needs? - ANS -increase
fluid needs by 12%
Normal temperature for an infant is 37.5° C. Fever increases fluid needs by 12% for every
1° C rise in temperature and Ricky's temperature is 1° C above normal.
Which statement reflects the principles of fluid and electrolyte imbalance
hypertonic/hypernatremia dehydration? - ANS -Fluids must be administered carefully to
avoid serious complications.
Rapid fluid replacement may result in water intoxication and marked cerebral edema.
Which nursing assessment is most indicative that Ricky's condition is improving? - ANS
-Serum sodium of 140 mEq/L.
Expected serum sodium levels for infants are 133 to 142 mEq/L. Normal sodium levels
are considered part of quality patient outcomes for dehydration.
What goal should receive the highest priority in the education plan of care? - ANS -seek
prompt treatment for diarrhea
Fluid losses with diarrhea in infants are more serious and severe than in adults. Parents
should seek treatment for diarrhea within the first 24 hours of the illness.
Based on Ricky's baseline weight of 7.5 kg, how many mg/mL is the correct dose every 8
hours, if the pharmacy compounds a suspension of Flagyl (metronidazole) 20 mg/mL?
Study Exam Questions with correct
Answers 2026/2027 A+ Graded 100%
Verified
What are the principles of fluid balance in infants? - ANS -infants have a greater percent
of fluid in the extracellular compartment compared to adults; therefore, they have greater
and more rapid fluid losses.
More than half of an infant's total birth weight is in the extracellular compartment. Infants
lose a large amount of fluid at birth and they maintain a larger amount of extracellular
fluid than adults until about age 2 years.
What is Ricky's daily maintenance fluid requirement? - ANS -340
The nurse suspects that Rickey has an excess of fluid and that he may be experiencing
water intoxication. What findings confirm this assessment? - ANS -- specific gravity of
1.005
- moist rales
- irritability
Ricky is admitted to the pediatric unit with a prescription for diuretics. What is a priority
nursing intervention? - ANS -implement seizure precautions
Based on Ricky's weight of 3.6 what is the correct amount of furosemide to me
administered? - ANS -0.68
What nutrition is best suited for 3 week old Ricky, given that his mother has chosen
formula feeding? - ANS -undiluted commercial iron-fortified formula for the first 6
months, not to exceed 32 oz a day.
Iron fortified formula provides all the nutrients an infant needs for the first 6 months of
life.
Based on weight loss, what degree of dehydration does Ricky exhibit? - ANS -Moderate
, Ricky has lost 0.9 kgs, which is approximately 9% of his body weight. This is consistent
with moderate dehydration.
The nurse completes a head-to-toe assessment on Ricky. What additional findings
support the assessment of moderate dehydration? - ANS -- Oliguria
- irritability
- slightly rapid respirations
- mod thirst
Irritability is characteristic of moderate dehydration
Respiratory rate increases with each degree of dehydration
Moderate thirst characterizes moderate dehydration.
Oliguria is present in moderate dehydration and can progress to anuria at the severe
level.
Submit
Ricky's temp is 38.5. What impact does this have on his fluid needs? - ANS -increase
fluid needs by 12%
Normal temperature for an infant is 37.5° C. Fever increases fluid needs by 12% for every
1° C rise in temperature and Ricky's temperature is 1° C above normal.
Which statement reflects the principles of fluid and electrolyte imbalance
hypertonic/hypernatremia dehydration? - ANS -Fluids must be administered carefully to
avoid serious complications.
Rapid fluid replacement may result in water intoxication and marked cerebral edema.
Which nursing assessment is most indicative that Ricky's condition is improving? - ANS
-Serum sodium of 140 mEq/L.
Expected serum sodium levels for infants are 133 to 142 mEq/L. Normal sodium levels
are considered part of quality patient outcomes for dehydration.
What goal should receive the highest priority in the education plan of care? - ANS -seek
prompt treatment for diarrhea
Fluid losses with diarrhea in infants are more serious and severe than in adults. Parents
should seek treatment for diarrhea within the first 24 hours of the illness.
Based on Ricky's baseline weight of 7.5 kg, how many mg/mL is the correct dose every 8
hours, if the pharmacy compounds a suspension of Flagyl (metronidazole) 20 mg/mL?
