Nurs 232 Final Questions| With Complete
Solutions well written and explained ( verified
100% ) graded A+
How do you calculate the maintenance fluid for pts <70kg?
**Per day!
ex: child that's 29 kg - ✔✔ANSWER✔✔-First 10kg x 100ml
Second 10kg x 50 ml
Remaining x 20 ml
Ex: 29 kg
10 x 100
10 x 50
9 x 20 = 1680 ml/day
How do you calculate the ideal of fluid intake/maintenance fluids
for pt >70 kg?
**per day! - ✔✔ANSWER✔✔-Body surface area (m2) x 1.5
l/m2/day
Ex: BSA 1.3
1.3 x 1.5 = 1.95 L/day or 1950 ml/day
How do you calculate urine output?
ex: child that's 12.5 kg - ✔✔ANSWER✔✔-Weight x 1-2
ml/kg/HOUR; If need per DAY multiply by 24
Ex: Child is 12.5kg
,Min 1 x 12.5 =12.5 ml/hr
Max 2 x 12.5 = 25 ml/hr
DAY= 300-600 ml/DAY
How do you calculate potassium requirements?
ex: child that's 32 kg - ✔✔ANSWER✔✔-Weight x 2-3
mEq/kg/DAY
*ex: child 32 kg
Min 2 x 32 = 64 mEq/DAY
Max 3 x 32 = 96 mEq/DAY
The mom of an 18 mos old says that she is "frustrated" with
child's behavior stating, :she drives me crazy saying no to
everything." The nurse explains that his negativism is normal &
helps the child meet the need for what?
a) industry
b) initiative
c) independence
d) identity - ✔✔ANSWER✔✔-c) independence
Identify the single most important factor to consider when
communicating with the hospitalized child
a) chronological age of the child
b) presence or absence of parent
c) developmental age of the child
d) diagnosis of the child - ✔✔ANSWER✔✔-c) developmental age
of the child
When examining a 2 yr old for a well child check up, how would
you proceed?
a) ask the parent to leave the room so the child will behave better
b) start by looking in the ears to get intrusive portion of the exam
over with
,c) address all of your questions to the child
d) establish rapport with the parents before addressing the child -
✔✔ANSWER✔✔-d) establish rapport with the parents before
addressing the child
A child with multiple fractures/trauma sustained in a MVA is
experiencing severe pain. Which is the most appropriate for the
nurse to do?
a) give opioid whenever pain is reported
b) plan a preventative schedule of pain meds around the clock
c) increase the dose of opioid until the child is sufficiently sedated
d) refer to the clock in the child's room to explain when the next
dose of pain med can be given - ✔✔ANSWER✔✔-b) plan a
preventative schedule of pain meds around the clock
Which of the following teaching points is NOT associated with
steroid use in daily treatment of asthma?
a) slow acting
b) rinse inhaler after use
c) PO administration lead to decline in linear growth
d) keep w athletic children for breakthrough therapy -
✔✔ANSWER✔✔-d) keep w athletic children for breakthrough
therapy
*slow acting, not a rescue med. Would have athletes carry
albuterol (SABA) instead
A newborn w PDA is at risk for developing what complication?
a) heart murmur
b) polycythemia
c) pulmonary HTN
d) urticaria - ✔✔ANSWER✔✔-c) pulmonary HTN
*is a type of increased pulmonary blood flow; decreased
pulmonary blood flow like PS & TOF will have polycythemia
(increase RBC) in response to decreased blood flow
, Which of the following will the nurse most likely NOT do for a child
with a hx of seizures that is currently experiencing another seizure
a) protect the child
b) call 911 or call a code
c) provide comfort to the child
d) observe the event - ✔✔ANSWER✔✔-b) call 911 or call a code
*this is not a new event; pt has hx of seizures
A 2 yr old's parent just left the hospital to check on the other
childrent. Which of the following would best help the child who is
now crying inconsolably?
a) give favorite blanket
b) take a nap
c) play w a peer
d) give new toy like large cuddly dog - ✔✔ANSWER✔✔-a) give
favorite blanket
During a well baby visit, the nurse notices that the 6 mos old
tripled her weight from birth. Mom asks if the baby is gaining
enough weigh. The RNs beset response is:
a) weight is below normal percentile
b) gaining weight right on schedule
c) ask the mother what the baby's weight was at the last visit
d) inquire about what the baby typically eats during the day -
✔✔ANSWER✔✔-d) inquire about what the baby typically eats
during the day
*double @ 6 mos, triple @ 12 mos
When assessing an infant w severe diarrhea, the nurse should
obseve for which potential change in breathing pattern?
a) kussmaul respirations
b) cheyne-stokes respirations
c) audible rhonci
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