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Author Question: An infant is admitted to the hospital with severe dehydration. Laboratory results show pH 7.32, ... (Read 90 times)

stephzh

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on: Jun 28, 2018
An infant is admitted to the hospital with severe dehydration. Laboratory results show pH 7.32, PaCO2 40, HCO3- 21. How does the nurse interpret these values?
 
  a. Metabolic acidosis
  b. Metabolic alkalosis
  c. Respiratory acidosis
  d. Respiratory alkalosis

Question 2

Following surgery for pyloric stenosis, an infant awoke from anesthesia hungry and crying. What is the most appropriate nursing action?
 
  a. Delay feeding the child for 6 hours.
  b. Offer regular formula thinned with water.
  c. Give small amounts of regular formula thickened with cereal.
  d. Allow 1 ounce of glucose water at frequent intervals.


djofnc

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Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: A
A pH lower than 7.35 indicates acidosis. If the child's pH falls in the same line as the HCO3-, the problem is metabolic

Answer to Question 2

ANS: D
Small oral feedings of glucose water are given after recovery from anesthesia. Feedings are gradually increased to larger amounts of regular formula.


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