Pediatric Hesi Case Study: Dehydration
After three hours, the infant nevertheless has no urine output. The healthcare company (HCP)
prescribes an in-and-out catheterization to gain a urine specimen. The nurse explains the
technique to the caregiver who starts to cry, stating the healthcare crew is inflicting the child
harm.
What is the BEST reaction with the aid of the nurse?
A. I will ask the HCP if the urine bag can stay a few hours longer
B. "I will allow the HCP recognise you are refusing the technique given that you have that proper
as his caregiver."
C. This technique is crucial to make the high-quality clinical decisions for the little one. It may be
uncomfortable however it'll no longer reason any long term results
D. "Please wait outside till the method is finished." - ANS-Answer (s): C
Rational:
This is truly simply common sense
Based on the 2012 safety alert issued by using the Child Health Patient Safety Organization,
which approach for NGT placement verification is now not advocated?
A. PH checking out
B. X-ray
C. Aspiration
D. Auscultation - ANS-Answer (s): D
Rational:
This is a subjective technique, and the nurse must rely on goal strategies.
Based on the nurse's knowledge of growth and improvement, that is the pleasant play
intervention for a 7-month-antique?
, A. Colored blocks
B. Bright dangling mobile
C. Ball
D. Stuffed animal - ANS-Answer (s): A
Rational:
At 7-months-vintage, the little one have to have fine motor capabilities to comprehend, keep,
and manage objects, transfer objects from hand at hand, bang gadgets together, and launch
items. He should be able to imitate actions and noises. Colored blocks offer the capability to use
gross motor competencies.
Following the management of the patron's vaccinations, the nurse continues to teach the family
regarding safety measures. Which protection measures should the nurse teach the circle of
relatives?
A. Freely sprinkle toddler powder on pores and skin after bathing to keep the skin wet.
B. Offer a bottle of juice at bedtime to hold the child complete all through the night time.
C. Position at the proper side or the left aspect for snoozing.
D. Place in the backseat in a rear-dealing with automobile seat when touring. - ANS-Answer (s):
D.
Rational:
Infants who're 7-months-vintage need to be rear-facing. Car seats are approved based totally on
weight and peak; but, the American Academy of Pediatrics recommends that every one
youngsters continue to be rear-dealing with till at least 2-years-old.
Infant method is 20 kcal per oz.And the little one consumes 4 ozeach 4 hrs. How many kcal
consistent with day is the infant eating>? - ANS-Answer (s): 480 kcal
Rational:
- 24 hrs / 4 hrs = 6 feeds per day
- 4oz x 6 = 24 ozof overall method fed on in an afternoon
- 24 ouncesx 20 = 480 kcal
Lab Values
- 137 meq/L (mmol/L)
After three hours, the infant nevertheless has no urine output. The healthcare company (HCP)
prescribes an in-and-out catheterization to gain a urine specimen. The nurse explains the
technique to the caregiver who starts to cry, stating the healthcare crew is inflicting the child
harm.
What is the BEST reaction with the aid of the nurse?
A. I will ask the HCP if the urine bag can stay a few hours longer
B. "I will allow the HCP recognise you are refusing the technique given that you have that proper
as his caregiver."
C. This technique is crucial to make the high-quality clinical decisions for the little one. It may be
uncomfortable however it'll no longer reason any long term results
D. "Please wait outside till the method is finished." - ANS-Answer (s): C
Rational:
This is truly simply common sense
Based on the 2012 safety alert issued by using the Child Health Patient Safety Organization,
which approach for NGT placement verification is now not advocated?
A. PH checking out
B. X-ray
C. Aspiration
D. Auscultation - ANS-Answer (s): D
Rational:
This is a subjective technique, and the nurse must rely on goal strategies.
Based on the nurse's knowledge of growth and improvement, that is the pleasant play
intervention for a 7-month-antique?
, A. Colored blocks
B. Bright dangling mobile
C. Ball
D. Stuffed animal - ANS-Answer (s): A
Rational:
At 7-months-vintage, the little one have to have fine motor capabilities to comprehend, keep,
and manage objects, transfer objects from hand at hand, bang gadgets together, and launch
items. He should be able to imitate actions and noises. Colored blocks offer the capability to use
gross motor competencies.
Following the management of the patron's vaccinations, the nurse continues to teach the family
regarding safety measures. Which protection measures should the nurse teach the circle of
relatives?
A. Freely sprinkle toddler powder on pores and skin after bathing to keep the skin wet.
B. Offer a bottle of juice at bedtime to hold the child complete all through the night time.
C. Position at the proper side or the left aspect for snoozing.
D. Place in the backseat in a rear-dealing with automobile seat when touring. - ANS-Answer (s):
D.
Rational:
Infants who're 7-months-vintage need to be rear-facing. Car seats are approved based totally on
weight and peak; but, the American Academy of Pediatrics recommends that every one
youngsters continue to be rear-dealing with till at least 2-years-old.
Infant method is 20 kcal per oz.And the little one consumes 4 ozeach 4 hrs. How many kcal
consistent with day is the infant eating>? - ANS-Answer (s): 480 kcal
Rational:
- 24 hrs / 4 hrs = 6 feeds per day
- 4oz x 6 = 24 ozof overall method fed on in an afternoon
- 24 ouncesx 20 = 480 kcal
Lab Values
- 137 meq/L (mmol/L)
