Answer to Question 1
A
A syringe or other in-line volume-control device is often used because they hold a limited amount of fluid. Only that fluid can be administered at one time. A piggyback setup would be used to infuse a dose of medication, not a continuous infusion. Neither a tunneled catheter nor a 15-drop infusion set would protect the child from fluid overload.
Answer to Question 2
A
Feedback
A Correct. Nurses should be particularly aware of the effects of situations that interfere with the gratification of oral needs (e.g., oral surgery, vomiting, distasteful medications, withholding food and fluids as well as periods of nonoral feeding). These experiences will most often make it difficult for the infant to experience pleasure in sucking, swallowing, digesting, and eliminating.
B Incorrect. The infant is sufficiently self-centered that they are never going to be concerned about how they relate to the nursing staff and the other members of the health care team.
C Incorrect. When oral satisfaction is threatened, the infant will not be satisfied with cuddling and comforting from the caregivers until the more basic need is fulfilled.
D Incorrect. When oral satisfaction is threatened, the infant has adequate means to communicate their needs without difficulty.
Assessing for Bulge Sign, Observing for Fluid
In acute otitis media, the tympanic membrane is usually bulging and purulent fluid is present in the
Body fluid compartments
Infant Swaddling
Water as Part of Body Fluids
Distribution of Fluids in a Human Body