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vSim for Nursing: Pediatric Case 3: Eva Madison WELL EXPLAINED (100%)
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vSim for Nursing: Pediatric Case 3: EvaMadison 2 VERIFIED ANSWERS(100%
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The nurse is obtaining a health history for a patient showing signs of dehydration. Which
of the following are considered risk factors for dehydration? (select all that apply) -
answerExcessive Burns
Diabetic Ketoacidosis
Vomiting
The nurse is assessing a 5-year-old patient with a several-day history of vomiting and
diarrhea. Which of the following signs would indicate that the patient is severely
dehydrated? (select all that apply.) - answerCool, mottled extremities
Deeply sunken orbits
The Nurse is caring for a preschool-aged patient admitted with dehydration. Which of
the following measurements is the best indicator of fluid status in this patient? -
answerDaily Weight
A 5-year-old patient comes into 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? - answerModerate Dehydration
A 5-year-old 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? -
answerMidstream Clean Catch
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? - answerYour 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 vomiting and diarrhea. What is the best method to use to collect the
stool specimen from this patient? - answerHave the patient urinate first and then place
a clean container under the seat at the back of the toilet to collect a specimen.
What is the daily oral fluid maintenance requirement in milliliters for a patient weighing
45lbs? - answer1510mL
The nurse is caring for a 5-year-old patient with dehydration and hypovolemic shock.
The patient received a 400mL bolus of normal saline over 15minutes. On reassessment
which of the following findings would indicate the patient's condition is improving? -
answerIncreased urine output.
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