Eva Madison

The nurse is caring for a 5 year old patient admitted with suspected dehydration. What is the daily oral fluid maintenance requirement in milliliters for the patient weighing 45 lbs

45/2.2=20.5kg 100x10 kg=1,000 50x10=500 20x0.5=10 add it all 1510

The nurse would expect which of the following laboratory results to be elevated in a preschool-aged patient with moderate dehydration? (SATA) a. urine specific gravity b. serum sodium c. BUN d. serum potassium e. creatine

a, b, c, e

The nurse is obtaining a health history from a patient showing signs of dehydration. Which of the following are considered risk factors for dehydrations? (SATA) a. DKA b. Excessive burns c. vomiting d. hypothermia e. constipation

a. DKA b. Excessive burns c. vomiting

The nurse is admitting Eva, a 5 year old with severe gastroenteritis and dehydration, to the hospital. Which of the following nursing interventions has highest priority? a. assessing Eva's heart rate, skin turgor, and last urine output b. orienting Eva's family to the unit location of restrooms, call light, TV Etc. c. Obtaining a detailed family medical history from Eva's mother d. Making sure that Eva has changed into a hospital gown

a. assessing Eva's heart rate, skin turgor, and last urine output

the charge nurse is making patient assignments for the next shift. the nurse should assign eva to the same cohort or group of patients as which of the following? a. a child recovering from an appendectomy b. another child with gastroenteritis c. a child with fever and neutropenia d. an infant with meningitis

b. another child with gastroenteritis

The nurse is caring for a pre-school-aged patient admitted with dehydration. Which of the following measurements is the best indicator for fluid status in this patient? a. oral intake b. daily weight c. skin turgor d. urine output

b. daily weight

The nurse is assessing a 5-year-old patient with several-day history of vomiting and diarrhea. Which of the following signs would indicate that this patient is severely dehydrated? (SATA) a. normal heart rate b. deeply sunken orbits c. cool, mottled extremities d. elastic skin turgor e. brisk cap refill

b. deeply sunken orbits c. cool, mottled extremities

the nurse is providing evas mother with discharge instructions regarding diet progression. which of the following responses by evas mother indicates that teaching has been effective? a. milk is a good choice for rehydration and will help to reduce the acid in evas stomach b. eva should drink an oral rehydration solution in small amounts until she is ready to progress to a regular diet c. i should encourage eva to drink large amounts of whatever she wants to drink d. when eva is ready to eat i should offer her favorite foods like chicken nuggets and fries

b. eva should drink an oral rehydration solution in small amounts until she is ready to progress to a regular diet

a nurse is explaining contact isolation precautions to the caregiver of a child admitted with gastroenteritis and dehydration. which of the following statements by the caregiver indicates that teaching has been effective? a. i must put on a mask and wear a gown and gloves when I am in my childs room b. i need to wear gloves and a gown when I am in my childs room and discard them in the trash when leaving the room c. my child has to be put into a special room and I have to wear a fitted mask when in the room d. i only need to use hand sanitizer when I enter and leave my childs room

b. i need to wear gloves and a gown when I am in my childs room and discard them in the trash when leaving the room

the nurse is reviewing a teaching handout with evas mother on home care for a child with dehydration, which includes information about when it is necessary to return to see the health care provider. which of the following responses by evas mother indicated that teaching has been effective? a. i need to take eva to the emergency room if she has a temperature of 99.5 b. if eva has diarrhea or vomiting and doesnt pee, or feels worse, the provider needs to see her c. the provider needs to see eva if she gets tired after running and playing at the park d. i need to call the provider if eva hasnt peed for more than 48 hrs

b. if eva has diarrhea or vomiting and doesnt pee, or feels worse, the provider needs to see her

the nurse is teaching eva how to wash her hands properly to prevent the spread of infection. which of the following is the most developmentally appropriate language to include in the nurses teaching? a. hand sanitizer is better at killing germs than soap and water b. sing happy birthday to make sure you wash your hands for the right amount of time c. germs like viruses and bacteria can spread from person to person when you are sick d. wash your hands for at least 15 seconds

b. sing happy birthday to make sure you wash your hands for the right amount of time

A 5 year old patient admitted with dehydration secondary to diarrhea and vomiting is placed on isolation precautions until the source of gastrointestinal distress is determined. Which of the following types of isolation precautions would be most appropriate for this patient? a. droplet precautions b. airborne precautions c. contact precautions d. reverse isolation precautions

c. contact precautions

Evas mother asked why the health care provider ordered a stool sample. Which of the following responses by the nurse identifies the most likely rationale for the stool sample, given Eva's condition? a. The lab will assess for the presence of bacteria in Eva's stool b. The specimen will help the lab determine if Eva has rotavirus or other viruses c. the lab will check the stool for parasites to see if that is why eva is having diarrhea d. the sample is needed to help determine if there is a blood evas stool

c. the lab will check the stool for parasites to see if that is why eva is having diarrhea

the nurse is preparing a 5 year old patient for a clean-catch urine specimen collection. Which of the following demonstrates that the nurse understands developmentally appropriate communication? a. I will put a hat in the toilet. When you go to the bathroom, it will catch your urine in the hat. b. let your mom know when you have to void again so she can help you obtain the specimen. c. I need you to urinate in the specimen cup the next time you go to the bathroom. d. Your mommy will use a special wipe to clean your bottom and then will catch your pee-pee in a cup when you go potty.

d. Your mommy will use a special wipe to clean your bottom and then will catch your pee-pee in a cup when you go potty.

A nurse caring for a 5 year old patient admitted with dehydration has an order to collect a stool specimen to test for ova and parasites. The patient is ambulatory and has a recent history of diarrhea and vomiting. What is the best methods to use to collect the stool specimen from this patient? a. place a urine bag to the anal area to collect the specimen and place a diaper on the patient to hold the bag in place b. diaper the patient and use a tongue blade to scrape the specimen into the container c. have the patient lie in the bed, and collect the specimen in a bedpan d. have the patient urinate first and then place a clean container under the seat at the back of the toilet to collect the specimen

d. have the patient urinate first and then place a clean container under the seat at the back of the toilet to collect the specimen

The nurse is caring for a 5 year old patient with dehydration and hypovolemic shock. The patient received a 400 ml bolus of normal saline over 15 minutes. On reassessment, which of the following findings would indicate that the patient's condition is improving? a. increased capillary refill time b. increase heart rate c. decreased blood pressure d. increased urine output

d. increased urine output

A 5 year old patient admitted with dehydration has an order for a urinalysis. What is the best and most appropriate way for the nurse to collect the urine specimen? a. sterile intermittent cauterization b. urine bag c. place cotton balls in diaper d. midstream clean catch

d. midstream clean catch

a 5 year old patient come to the emergency room with a 3-day history of vomiting and diarrhea. The patient weighed 21.8 kg 1 month ago at a well-child checkup and now weighs 20.5 kg. The nurse knows that the patient would be classified as having which of the following levels of dehydration? a. Severe b. none c. mild d. moderate

d. moderate

the nurse is caring for a 5 year old eva admitted with dehydration for intravenous rehydration. evas mother must leave the bedside to care for another child at home and asks whether the nurse can find something for the patient to play with while unsupervised. which of the following toys would be most appropriate for the nurse to provide eva with? a. bucket and plastic shovel b. unbreakable mirror c. board book d. simple jigsaw puzzle

d. simple jigsaw puzzle