NURS 328 Peds fluid balance Questions
With Complete Solutions
What should you be using to calculate fluid and document I&O?
correct answer: child's weight
weighing diapers and measuring urine output
recording consistency and character and amount of stool
recording emesis
emesis and gastric secretions (NGT drainage)
wound drainage
chest tube drainage
What should you include in a physical assessment for fluid
balance? correct answer: skin color
cap refill
skin turgor
mucous membranes (are there tears?)
anterior fontanel
v/s
*orientation = awake?aware?
urine output
sudden weight loss
Why are pediatric pts more vulnerable to alteration in fluid and
electrolyte imbalance? correct answer: *higher portion of water
content and greater body surface area
*inability to shiver or sweat to control body temperature
*greater proportion of fluid, Na+, and Cl- in the ECF in infancy
*higher metabolic rate
, *immature kidneys and GFR
*greater insensible water loss
When a child is dehydrated, what happens first? correct answer:
tachycardia
What changes about V/S when a child is dehydrated? correct
answer: tachycardia first, then increased RR, then change in BP
What V/S is last to change when a child is dehydrated? correct
answer: BP
What is NOT a reliable symptom of dehydration in infants?
correct answer: specific gravity of urine
*kidneys don't concentrate urine yet in children under 2
What contributes to the greater insensible water loss in a child?
correct answer: higher fever, increased RR
increased body surface area
higher metabolism
What is the relationship between the age of a child and the
amount of fluid comprising ECF? correct answer: younger child
= more total body fluids comprise ECF
**infant and younger children are more susceptible to F&E
disturbances
What lab data should you assess for F&E imbalance? correct
answer: serum electrolytes, bun, creat
Hgb and Hct
blood gas (arterial, venous, or capillary)
With Complete Solutions
What should you be using to calculate fluid and document I&O?
correct answer: child's weight
weighing diapers and measuring urine output
recording consistency and character and amount of stool
recording emesis
emesis and gastric secretions (NGT drainage)
wound drainage
chest tube drainage
What should you include in a physical assessment for fluid
balance? correct answer: skin color
cap refill
skin turgor
mucous membranes (are there tears?)
anterior fontanel
v/s
*orientation = awake?aware?
urine output
sudden weight loss
Why are pediatric pts more vulnerable to alteration in fluid and
electrolyte imbalance? correct answer: *higher portion of water
content and greater body surface area
*inability to shiver or sweat to control body temperature
*greater proportion of fluid, Na+, and Cl- in the ECF in infancy
*higher metabolic rate
, *immature kidneys and GFR
*greater insensible water loss
When a child is dehydrated, what happens first? correct answer:
tachycardia
What changes about V/S when a child is dehydrated? correct
answer: tachycardia first, then increased RR, then change in BP
What V/S is last to change when a child is dehydrated? correct
answer: BP
What is NOT a reliable symptom of dehydration in infants?
correct answer: specific gravity of urine
*kidneys don't concentrate urine yet in children under 2
What contributes to the greater insensible water loss in a child?
correct answer: higher fever, increased RR
increased body surface area
higher metabolism
What is the relationship between the age of a child and the
amount of fluid comprising ECF? correct answer: younger child
= more total body fluids comprise ECF
**infant and younger children are more susceptible to F&E
disturbances
What lab data should you assess for F&E imbalance? correct
answer: serum electrolytes, bun, creat
Hgb and Hct
blood gas (arterial, venous, or capillary)
