Author Question: A client in the emergency department is being admitted for fluid volume deficit. When preparing to ... (Read 43 times)

dbose · **on:** Jun 25, 2018

A client in the emergency department is being admitted for fluid volume deficit. When preparing to assess this client, on which body system should the nurse focus to determine the cause of the imbalance?

A) Cardiovascular
B) Genitourinary
C) Gastrointestinal
D) Musculoskeletal

Question 2

A child weighing 33 lbs. who is diagnosed with dehydration is prescribed to receive 50 mL/kg of oral fluids for the next 4 hours. How many total mL of fluid should the nurse provide to the client?

Calculate to the nearest whole number.

asware1 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: C

The most common cause of fluid volume deficit is excessive loss of gastrointestinal fluids, which can result from vomiting, diarrhea, suctioning, intestinal fistulas, or intestinal drainage. Other causes of fluid losses include chronic abuse of laxatives and/or enemas. The client may demonstrate cardiovascular system changes because of the fluid volume deficit; however, this body system does not cause the deficit. The client may demonstrate genitourinary system changes because of the fluid volume deficit; however, this body system does not cause the deficit. The client may demonstrate musculoskeletal system changes because of the fluid volume deficit; however, this body system does not cause the deficit.

Answer to Question 2

Answer: 750 mL

For children with mild to moderate dehydration, oral rehydration therapy is the first intervention, given in frequent, small amounts. For the first 2-4 hours of treatment, 50 mL of fluid for each kilogram of weight should be the target intake. The child weighs 33 lbs. Calculate the weight in kg by dividing 33 lbs. by 2.2 = 15 kg. Then multiply the volume of fluid by the weigh or 50 mL 15 = 750 mL. The nurse should provide 750 mL of fluid to the child over 4 hours.