Exam (elaborations)
WSU N414 Exam 2 Questions With Correct Answers.
- Course
- Nursing
- Institution
- Liberty University
WSU N414 Exam 2 Questions With Correct Answers.
[Show more]
Content preview
WSU N414 Exam 2 Questions With Correct AnswersFluid and electrolyte balance in children Correct Answer-Children are
much more vulnerable to imbalances in fluids and electrolytes, and this
affects care across almost every acute situation.
child differences: body weight composed of water Correct Answer-
Newborn: 75%
Infants: 65%
Two-year old: 60%
Child/Adolescent: 50%
-Higher Body Surface Area
-More Insensible Fluid Loss
(sweat, loss through respiratory tract,
fluid found in fecal excretion)
-Immature Kidney Function
-Kids have more body weight composed of water.
-Newborns have highest body weight composed of water.
-As they grow older less of their body weight is water.
-Babies cannot control temp very well.
-Children have more insensible fluid loss (fluids that you cannot
measure: sweat, breathing, fluid in poop).
,-When child has fever or increased respiratory weight, they will lose
extra fluids.
-Immature kidney function.
-Until 2, ability to concentrate urine and control water is not stable.
-Cannot regulate electrolytes and acid base balance.
24 Hour Maintenance Fluid Calculation Correct Answer--0- 10 kg: 100
mls/kg/24 hours.
-11-20 kg: 1000 + 50 mls/kg for each kg between 11-20 kg per 24 hrs.
-21-70 kg: 1500 + 20 mls/kg for each kg between 21-70 per 24 hrs.
-then divide by 24 for hourly rate.
-How much fluid a child needs depending on their weight.
-0-10kg automatic 100 ml.
11-20kg automatic 1000ml.
-21-70kg automtic 1500ml.
calculate 24 hr maintenance fluid for 8 kg child Correct Answer--100ml
x 8kg = 800ml/24 hrs.
-800ml / 24 hrs = 33 ml/hr.
calculate 24 hr maintenance fluid for 12 kg child Correct Answer--1000
ml + (50 ml x 2 kg) = 1100 ml/24 hrs.
-1100 ml / 24 hrs = 46 ml/hr.
, -2 kg because 2 kg over 10.
calculate 24 hr maintenance fluid for 21 kg child Correct Answer--1500
ml + (20 ml x 1 kg) = 1520 ml / 24 hrs.
-1520 ml / 24 hrs = 63 ml/hr.
-1 kg because she's 1 over 20 kg.
Extracellular Fluid Volume Deficit (Dehydration) Correct Answer--
Most common fluid volume issue in kids.
-Leading cause of death worldwide.
-Kids don't have enough fluid in extracellular spaces.
Symptoms of Extracellular Fluid Volume Deficit Correct Answer--
Weight loss (1 kg= 1 liter): Fluid will be gone so they will weigh less.
-Decreased blood pressure: Decreased BP because decreased volume.
-Delayed capillary refill time: Delayed cap because not enough blood in
tissues to diffuse.
-Decreased skin turgor: Decreased skin turgor because not enough fluid
to make it go back to place. Check skin turgor on babies on belly or
upper chest.
-Dizziness, syncope.
-Decreased urine output: parents notice decreased trips to bathroom or
decreased in diapers changed.
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller cracker. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $17.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
53340 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now