Which assessment findings indicate to the nurse that a child has ...

[Chelseaamend]

Which assessment findings indicate to the nurse that a child has fluid volume excess? Select all that apply.
 
  a. Weight gain
  b. Decreased blood pressure
  c. Moist breath sounds
  d. Poor skin turgor
  e. Rapid bounding pulse

Question 2

Which diet would the nurse recommend to the mother of a child who is having mild diarrhea?
 
  a. Rice, potatoes, bread, and cereal
  b. Bananas, rice, applesauce, and toast
  c. Apple juice, hamburger, and salad
  d. Whatever the child would like to eat

[s.meritte]

Answer to Question 1

A, C, E
A child with fluid volume excess will have weight gain, moist breath sounds due to the excess fluid in the pulmonary system, and a rapid bounding pulse. Other signs seen with fluid volume excess are increased blood pressure, edema, and fatigue. Decreased blood pressure and poor skin turgor are signs of fluid volume deficit.

Answer to Question 2

A
Bland but nutritional foods including complex carbohydrates (rice, potatoes, bread, and cereals) are recommended for mild diarrhea. Bananas, rice, applesauce, and toast used to be recommended for diarrhea (BRAT diet). These foods are easily tolerated but the BRAT diet is low in energy, density, fat, and protein. Fatty foods, spicy foods, and foods high in simple sugars should be avoided. The child should be offered foods he or she likes but should not be encouraged to eat fatty foods, spicy foods, and foods high in simple sugars.