A nine-month-old infant is hospitalized with vomiting and ...

[s.tung]

A nine-month-old infant is hospitalized with vomiting and diarrhea. The mother questions why her child needed hospitalization since her school-age nephew had the same symptoms and was treated at home.
 
  The nurse would explain that an infant is more at risk for dehydration than a school-age child because: Standard Text: Select all that apply. 1. Infants have a lower proportion of their body weight as water.
  2. The percentage of extra-cellular fluid is higher in the infant than the school-age child.
  3. School-age children have a larger body surface area.
  4. The school-age child's kidneys are more mature and better able to conserve water.
  5. The metabolic rate of the school-age child is higher.

Question 2

An adolescent comes to the clinic because of a concern with a skin lesion, and is accompanied by a parent. When the adolescent is called back to the exam room, the parent comes with the adolescent.
 
  What approach by the nurse would be most appropriate? 1. Allow the parent to come into the exam room with the adolescent.
  2. Tell the parent she cannot come into the exam room with the adolescent.
  3. Instruct the parent to stay in the waiting room and the adolescent will give her a report on the exam.
  4. Reassure the parent that you will talk with her about any of her concerns and questions.

[Awesome]

Answer to Question 1

2,4
Rationale 1: Infants have a higher percentage of body weight as water.
Rationale 2: This statement is accurate.
Rationale 3: Body surface area is an assessment of skin surface. BSA compares the height and weight of the child and is greatest in infancy.
Rationale 4: This statement is accurate.
Rationale 5: Infants have a higher metabolic rate than a school-age child.
Global

Answer to Question 2

4
Rationale:
1. The adolescent chooses when the parent comes into the room.
2. The adolescent decides when the parent comes into the room.
3. The adolescent makes the decision about the parent's presence and whether to report the exam to her.
4. If someone comes with the adolescent, be alert that you might need to provide some private time by asking the other person to wait outside for a moment. Reassure the parent that you will talk with her about any of her concerns and questions, and provide her with an opportunity to ask questions and get information as well.

[s.tung]

TYSM

[gcook]

Excellent