This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: The nurse receives shift report on a pediatric medical-surgical unit. The nurse has been assigned ... (Read 93 times)

FButt

  • Hero Member
  • *****
  • Posts: 519
on: Jun 25, 2018
The nurse receives shift report on a pediatric medical-surgical unit. The nurse has been assigned four clients for the shift. Which client does the nurse plan to assessment first based on the increased risk for dehydration?
 
  A) A 4-year-old child with a broken leg
  B) A 15-month-old child with tachypnea
  C) A 16-year-old child with migraine headaches
  D) A 10-year-old child with cellulitis of the left leg

Question 2

An older adult client is brought to the emergency department from a long-term care facility.
 
  The client has been experiencing fever, nausea, and vomiting for the past 2 days. The client denies thirst. Urine dipstick indicates a decreased urine specific gravity. Based on this data, which diagnosis does the nurse anticipate?
  A) Congestive heart failure
  B) Dehydration
  C) Fluid overload
  D) Normal changes of aging


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

johnharpe

  • Sr. Member
  • ****
  • Posts: 338
Reply #1 on: Jun 25, 2018
Answer to Question 1

Answer: B

The pediatric client with the greatest risk for dehydration is the client who is under 2 years of age experiencing tachypnea which increases insensible fluid loss. The pediatric client with a chronic or acute condition that does not directly affect the GI or electrolyte system (migraine headache, broken leg, or cellulitis) is at a lower risk than is a toddler with a condition that increases insensible water loss.

Answer to Question 2

Answer: B

Older adult clients are less able to concentrate their urine, making them susceptible to dehydration. In addition, there is a deficit of the thirst response. However, fever, nausea, and vomiting resulting from these changes are not considered normal. The client's symptoms of nausea and vomiting suggest decreased intake and increased output through vomiting, placing the client at risk for dehydration. Congestive heart failure and fluid overload would present with respiratory difficulty and peripheral edema.


FButt

  • Member
  • Posts: 519
Reply 2 on: Jun 25, 2018
YES! Correct, THANKS for helping me on my review

sultansheikh

  • Member
  • Posts: 335
Reply 3 on: Yesterday
Gracias!

« previous next »
 

Did you know?

Immunoglobulin injections may give short-term protection against, or reduce severity of certain diseases. They help people who have an inherited problem making their own antibodies, or those who are having certain types of cancer treatments.

Did you know?

When taking monoamine oxidase inhibitors, people should avoid a variety of foods, which include alcoholic beverages, bean curd, broad (fava) bean pods, cheese, fish, ginseng, protein extracts, meat, sauerkraut, shrimp paste, soups, and yeast.

Did you know?

The effects of organophosphate poisoning are referred to by using the abbreviations “SLUD” or “SLUDGE,” It stands for: salivation, lacrimation, urination, defecation, GI upset, and emesis.

Did you know?

Only 12 hours after an egg cell is fertilized by a sperm cell, the egg cell starts to divide. As it continues to divide, it moves along the fallopian tube toward the uterus at about 1 inch per day.

Did you know?

In the United States, an estimated 50 million unnecessary antibiotics are prescribed for viral respiratory infections.

Surgical instruments prepared for a procedure. Surgical instruments prepared for a procedure.
An emergency medical technician positions defibrillator paddles on the chest of a supine male patien An emergency medical technician positions defibrillator paddles on the chest of a supine male patien
Arthroscopic surgery involves the surgery of a joint with the use of a flexible arthroscope and othe Arthroscopic surgery involves the surgery of a joint with the use of a flexible arthroscope and othe
CT scan of the head shows a massive bleed with a midline shift. CT scan of the head shows a massive bleed with a midline shift.
Medical assistant shaking hands with the interviewer at the close of the interview. Medical assistant shaking hands with the interviewer at the close of the interview.
How is this worker trying to avoid becoming a depersonalized unit in a bureaucratic-economic ... How is this worker trying to avoid becoming a depersonalized unit in a bureaucratic-economic ...
Video: Secondary and tertiary levels of protein structure Animation

For a complete list of videos, visit our video library