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vSim for Nursing: Pediatric Case 3: Eva Madison

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vSim for Nursing: Pediatric Case 3: Eva Madison

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vSim for Nursing: Pediatric Case 3: Eva
Madison QUESTIONS AND ANSWERS
The nurse is obtaining a health history for a patient showing signs of
dehydration. Which of the following are considered risk factors for
dehydration? (select all that apply) - -Excessive Burns
Diabetic Ketoacidosis
Vomiting

-The nurse is assessing a 5-year-old patient with a several-day history of
vomiting and diarrhea. Which of the following signs would indicate that the
patient is severely dehydrated? (select all that apply.) - -Cool, mottled
extremities
Deeply sunken orbits

-The Nurse is caring for a preschool-aged patient admitted with dehydration.
Which of the following measurements is the best indicator of fluid status in
this patient? - -Daily Weight

-A 5-year-old patient comes into the emergency room with a 3-day history of
vomiting and diarrhea. The patient weighed 21.8 kg 1 month ago at a well-
child checkup and now weighs 20.5 kg. The nurse knows that the patient
would be classified as having which of the following levels of dehydration? - -
Moderate Dehydration

-A 5-year-old admitted with dehydration has an order for a urinalysis. What is
the best and most appropriate way for the nurse to collect the urine
specimen? - -Midstream Clean Catch

-The nurse is preparing a 5-year-old patient for a clean-catch urine specimen
collection. Which of the following demonstrates that the nurse understands
developmentally appropriate communication? - -Your mommy will use a
special wipe to clean your bottom and then will catch your pee-pee in a cup
when you go potty.

-A nurse caring for a 5-year-old patient admitted with dehydration has an
order to collect a stool specimen to test for ova and parasites. The patient is
ambulatory and has a recent history of vomiting and diarrhea. What is the
best method to use to collect the stool specimen from this patient? - -Have
the patient urinate first and then place a clean container under the seat at
the back of the toilet to collect a specimen.

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