Author Question: What assessment should the nurse make before initiating an intravenous (IV) infusion of dextrose 5 ... (Read 89 times)

fbq8i

  • Hero Member
  • *****
  • Posts: 527
What assessment should the nurse make before initiating an intravenous (IV) infusion of dextrose 5 in 0.9 normal saline solution with 10 mEq of potassium chloride for a child hospitalized with dehydration?
 
  a. Fluid intake
  b. Number of stools
  c. Urine output
  d. Capillary refill

Question 2

Which is the priority nursing intervention for a 6-month-old infant hospitalized with diarrhea and dehydration?
 
  a. Estimating insensible fluid loss
  b. Collecting urine for culture and sensitivity
  c. Palpating the posterior fontanel
  d. Measuring the infant's weight



Kimmy

  • Sr. Member
  • ****
  • Posts: 342
Answer to Question 1

C
Potassium chloride should never be added to an IV solution in the presence of oliguria or anuria (urine output less than 0.5 mL/kg/hr). Fluid intake does not provide information about renal function. Stool count sheds light on intestinal function. Renal function is the concern before potassium chloride is added to an IV solution. Assessment of capillary refill does not provide data about renal function.

Answer to Question 2

D
Weight is a crucial indicator of fluid status. It is an important criterion for assessing hydration status and response to fluid replacement. Infants have a greater total body surface area and therefore a greater potential for fluid loss through the skin. It is not possible to measure insensible fluid loss. Urine for culture and sensitivity is not usually part of the treatment plan for the infant who is dehydrated from diarrhea. The posterior fontanel closes by 2 months of age. The anterior fontanel can be palpated during an assessment of an infant with dehydration.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question

Kimmy

  • Sr. Member
  • ****
  • Posts: 342

 

Did you know?

People about to have surgery must tell their health care providers about all supplements they take.

Did you know?

Approximately 25% of all reported medication errors result from some kind of name confusion.

Did you know?

The use of salicylates dates back 2,500 years to Hippocrates’s recommendation of willow bark (from which a salicylate is derived) as an aid to the pains of childbirth. However, overdosage of salicylates can harm body fluids, electrolytes, the CNS, the GI tract, the ears, the lungs, the blood, the liver, and the kidneys and cause coma or death.

Did you know?

In the United States, congenital cytomegalovirus causes one child to become disabled almost every hour. CMV is the leading preventable viral cause of development disability in newborns. These disabilities include hearing or vision loss, and cerebral palsy.

Did you know?

Hyperthyroidism leads to an increased rate of metabolism and affects about 1% of women but only 0.1% of men. For most people, this increased metabolic rate causes the thyroid gland to become enlarged (known as a goiter).

For a complete list of videos, visit our video library