Author Question: What assessment should the nurse make before initiating an intravenous (IV) infusion of dextrose 5 ... (Read 99 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?

More than 30% of American adults, and about 12% of children utilize health care approaches that were developed outside of conventional medicine.

Did you know?

Automated pill dispensing systems have alarms to alert patients when the correct dosing time has arrived. Most systems work with many varieties of medications, so patients who are taking a variety of drugs can still be in control of their dose regimen.

Did you know?

Atropine, along with scopolamine and hyoscyamine, is found in the Datura stramonium plant, which gives hallucinogenic effects and is also known as locoweed.

Did you know?

Egg cells are about the size of a grain of sand. They are formed inside of a female's ovaries before she is even born.

Did you know?

Amphetamine poisoning can cause intravascular coagulation, circulatory collapse, rhabdomyolysis, ischemic colitis, acute psychosis, hyperthermia, respiratory distress syndrome, and pericarditis.

For a complete list of videos, visit our video library