Author Question: A nurse is totaling the intake of a child who is on oral feedings, enteral feedings, and parenteral ... (Read 71 times)

melina_rosy · **on:** Jun 27, 2018

A nurse is totaling the intake of a child who is on oral feedings, enteral feedings, and parenteral IV fluids. During the 8 hour shift the child took 4 ounces of formula, by mouth.

The child also had a supplemental feeding per gastrostomy tube that ran at 20 mL per hour for 4 hours. The child's IV ran continuously at 25 mL per hour for the whole 8 hours. What is the child's total intake for the 8 hour shift?

Question 2

Where would the nurse locate the apical pulse on a 6-year-old child?

a. Second right intercostal space
b. Second intercostal space at the sternal border
c. Fourth intercostal space lateral to the midclavicular line
d. Fifth intercostal space at the midclavicular line

31809pancho · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

400
Keeping accurate intake and output (I&O) measurements may be necessary for some children. Measure and record all intake: oral, enteral, and parenteral. The 4 ounces of formula = 120, the 4 hours of enteral feeding at 20 mL per hour = 80, the parenteral IV intake at 25 mL per hour for 8 hours = 200 . 120 + 80 + 200 = 400 total intake for the 8 hours.

Answer to Question 2

C
In children younger than 7 years of age, the apical pulse is located at the fourth intercostal space, lateral to the midclavicular line. The tricuspid valve is auscultated at the second right intercostal space. The pulmonic valve can be auscultated at the second intercostal space at the left sternal border. The apical pulse in a child older than 7 years of age is located at the fifth intercostal space in the midclavicular line.