What is the priority nursing intervention for a 6-month-old ...

[09madisonrousseau09]

What is the priority nursing intervention for a 6-month-old infant hospitalized with diarrhea and dehydration?
 
  a. Estimating insensible fluid loss
  b. Collecting urine for culture and sensitivity
  c. Palpating the posterior fontanel
  d. Measuring the infant's weight

Question 2

A child with osteomyelitis asks the nurse, What is a sed' rate? What is the best response for the nurse?
 
  a. It tells us how you are responding to the treatment.
  b. It tells us what type of antibiotic you need.
  c. It tells us whether we need to immobilize your extremity.
  d. It tells us how your nerves and muscles are doing.

[mammy1697]

Answer to Question 1

D
Feedback
A Infants have a greater total body surface area and therefore a greater potential for
fluid loss through the skin. It is not possible to measure insensible fluid loss.
B Urine for culture and sensitivity is not usually part of the treatment plan for the
infant who is dehydrated from diarrhea.
C The posterior fontanel closes by 2 months of age. The anterior fontanel can be
palpated during an assessment of an infant with dehydration.
D Weight is a crucial indicator of fluid status. It is an important criterion for
assessing hydration status and response to fluid replacement.

Answer to Question 2

A
Feedback
A The erythrocyte sedimentation rate (ESR) indicates the presence of inflammation
and infectious process and is one of the best indicators of the child's response to
treatment.
B Although the ESR indirectly identifies whether an antibiotic is needed, the
organism involved dictates the type of antibiotic and the length of treatment.
C The ESR does not direct whether the extremity will be immobilized.
D An ESR rate will not evaluate neuromuscular status.

[09madisonrousseau09]

Gracias!

[apple]

TYSM