Answer to Question 1
4
Explanation:
1. The pediatric client with a chronic or acute condition that does not directly affect the GI or electrolyte system is at a lower risk than is a toddler with a condition that increases insensible water loss.
2. The pediatric client with an acute condition that does not directly affect electrolytes is at a lower risk than is a client with a condition that increases insensible water loss.
3. The pediatric client with an acute condition, such as a client with cellulitis that does not affect the GI or electrolyte system, is at a lower risk than is a toddler with a condition that increases insensible water loss.
4. The pediatric client with the greatest risk is under 2 years of age and with a condition that increases insensible fluid loss.
Answer to Question 2
3
Explanation:
1. Hypernatremia is a condition where the body fluids are too concentrated and there is an excess of sodium.
2. Metabolic acidosis refers to a condition where the pH of the blood is acidic.
3. This occurs when fluid loss is characterized by a proportionately greater loss of sodium than water. Serum sodium is below normal levels. Hemoglobin and hematocrit will be high due to the loss of serum water.
4. This occurs when fluid loss is not balanced by intake, and the losses of water and sodium are in proportion.
The patient and his family meet with the nurse to discuss progress on the patient care plan.
Mechanical ventilation may be necessary for clients experiencing respiratory alkalosis
Child with cerebral palsy has abnormal muscle tone and lack of physical coordination.
A child with a hearing impairment wears a hearing aid (as noted in his left ear).
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Risk assessment codes for an HIV-infected patient.