Exam 24: The Child with Fluid and Electrolyte Imbalance

MATCHING Match the type of skin graft to its definition. -Skin that is obtained from members of a different species, primarily pigskin

What finding is the most reliable guide to the adequacy of fluid replacement for a small child with burns?

What flush solution is recommended for intravenous catheters larger than 24 gauge?

A health care provider prescribes dopamine (Intropin), 5 mcg/kg/min in a continuous intravenous (IV) infusion for a child in shock. The child weighs 25 kg. The medication is available as dopamine 400 mg in 250 ml. The nurse prepares to calculate the rate. How many milliliters per hour will the nurse set the IV infusion pump to deliver 5 mcg/kg/min? Fill in the blank. Round to one decimal place. ________________

A health care provider prescribes midazolam (Versed) syrup 0.5 mg/kg per mouth (PO) 30 minutes before a burn wound dressing change on a child. The medication label states: "Versed 2 mg/1 ml." The child weighs 8 kg. The nurse prepares to administer the dose. How many milliliters will the nurse prepare to administer the dose? Fill in the blank. Record your answer in a whole number. ________________

A health care provider prescribes diphenhydramine (Benadryl), 1 mg/kg PO every 4 to 6 hours as needed for pruritus to a child with a mild cutaneous anaphylactic reaction. The child weighs 5 kg. The medication label states: "Diphenhydramine 12.5 mg/5 ml." The nurse prepares to administer one dose. How many milliliters will the nurse prepare to administer one dose? Fill in the blank. Record your answer in a whole number. ________________

A toddler sustains a minor burn on the hand from hot coffee. What is the first action in treating this burn?

What clinical manifestation(s) should the nurse expect to see as shock progresses in a child and becomes decompensated shock?

The nurse is caring for a child with hypernatremia. The nurse evaluates the child for which signs and symptoms of hypernatremia? (Select all that apply.)

What amount of fluid loss occurs with moderate dehydration?

Ongoing fluid losses can overwhelm the child's ability to compensate, resulting in shock. What early clinical sign precedes shock?

Fentanyl and midazolam (Versed) are given before débridement of a child's burn wounds. What is the purpose of using these medications?

What sign is one of the first to indicate overwhelming sepsis in a child with burn injuries?

MATCHING Match the type of skin graft to its definition. -Tissue obtained from undamaged areas of the patient's own body

What is an approximate method of estimating output for a child who is not toilet trained?

In what condition should the nurse be alert for altered fluid requirements in children? (Select all that apply.)

The nurse is preparing a presentation on compensated, decompensated, and irreversible shock in children. What clinical manifestations related to decompensated shock should the nurse include? (Select all that apply.)

Physiologically, the child compensates for fluid volume losses by which mechanism?

What is the required number of milliliters of fluid needed per day for a 14-kg child?

The nurse is teaching a parent of a 10-year-old child who will be discharged with a venous access device (VAD). What statement by the parent indicates a correct understanding of the teaching?