Author Question: Nurses must be alert for increased fluid requirements when a child has: a. Fever. c. Congestive ... (Read 78 times)

cnetterville · **on:** Jun 28, 2018

Nurses must be alert for increased fluid requirements when a child has:

a. Fever. c. Congestive heart failure.
b. Mechanical ventilation. d. Increased intracranial pressure (ICP).

Question 2

The nurse is caring for a 10-month-old infant with respiratory syncytial virus (RSV) bronchiolitis. Which interventions should be included in the child's care (Select all that apply)?

a. Administer antibiotics.
b. Administer cough syrup.
c. Encourage infant to drink 8 ounces of formula every 4 hours.
d. Institute cluster care to encourage adequate rest.
e. Place on noninvasive oxygen monitoring.

meryzewe · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A
Fever leads to great insensible fluid loss in young children because of increased body surface area relative to fluid volume. Respiratory rate influences insensible fluid loss and should be monitored in the mechanically ventilated child. Congestive heart failure is a case of fluid overload in children. ICP does not lead to increased fluid requirements in children.

Answer to Question 2

ANS: C, D, E
Hydration is important in children with RSV bronchiolitis to loosen secretions and prevent shock. Clustering of care promotes periods of rest. The use of noninvasive oxygen monitoring is recommended.