Pediatric Hesi Case Study Fluid and Electrolytes Exam Questions With All Correct Detailed Answers A+ Pass

Pediatric Hesi Case Study Fluid and Electrolytes Exam Questions With All Correct Detailed Answers A+ Pass What are the principles of fluid balance? - Answers - Infants have a greater percent of fluid in the extracellular compartment compared to adults; therefore, they have greater and more rapid fluid losses Ricky weighs 3.4 kg. Referencing the fluid composition chart, what is Ricky's daily maintenance fluid requirements? - Answers - 340 The nurse suspects that Ricky has an excess of fluid and that he may be experiencing water intoxication. Which findings confirms assessment? - Answers - Irritability Specific Gravity of 1.005 Moist Rales Bilaterally Ricky is admitted and prescribed a diuretic. What is a priority intervention? - Answers - implement seizures precautions Based on Ricky's weight, what is the correct amount of medication to administer? - Answers - 0.68 Which nutrition option is best suited for 3-week old Ricky, given that his mother has chosen formula feedings? - Answers - undiluted commercial iron-fortified formula for the first 6 months not to exceed 32 oz Based on weight loss, what degree of dehydration does Ricky exhibit? - Answers - Moderate The nurse completes a head-to-toe assessment of Ricky. What additional findings support the assessment of moderate dehydration? - Answers - Slightly rapid respiration irritability moderate thirst Oliguria Ricky's temp is 38.5 C. What impact does this have on his fluid needs? - Answers - Increases fluid by 12% Which statement reflects the principles of fluid and electrolyte imbalance? - Answers - fluids must be administered carefully to avoid serious reactions Which nursing assessment is most indicative of Ricky's clinical condition improving? - Answers - Serum sodium of 140 mEq/L Which goal should receive the highest priority in the education plan of care? - Answers - Seek prompt treatment for diarrhea How many mg/mL is the correct dose every 8 hours if the pharmacy compounds a suspension of Flagyl 20 mg/mL? - Answers - 5 What statement by Mrs. Sanchez confirms for the nurse that counseling is effective? - Answers - the rotovirus vaccine protects against only one cause of diarrhea Ricky screams when his mother leaves, resists being held by the nurse, and is inconsolable. How does the nurse interpret? - Answers - The protest stage of separation anxiety Which intervention will best meet Ricky's emotional needs related to separation anxiety? - Answers - Empathize that it is difficult Which strategies promote the principles of family -centered care to effectively manage Ricky's separation anxiety? - Answers - suggest that she leave something of hers as a reminder during her absence Which nursing intervention is most appropriate to treat diaper dermatitis ? - Answers - Apply a thin layer of zinc oxide What are appropriate nursing interventions to provide intake for Ricky? - Answers - offer small amounts of prescribed oral rehydration fluids offer commercially prepared frozen oral rehydration products