HESI CASE STUDY DEHYDRATION
(PEDIATRICS)EXAM.
1. Which assessment findings will lead the nurse to believe an infant is
moderately dehydrated? - CorreCt Answers -A sunken fontanel, dry mucous
membranes, and HR of 160 beats/minute.
2. To obtain more information about the client's current status, which
questions are a priority for the nurse to ask family? (Select all that apply.
One, some, or all options may be correct.) - CorreCt Answers -"Have you
offered fluids other than formula?"
"What was the client's last weight?"
Na137 meq/L (137 mmol/L), Hgb14.0 g/dL (140 g/L), WBC13500/mcL
(13.5 x 109/L), K4.8 meq/L (4.8 mmol/L), Hct40% (0.40 proportion of
1.0), Neutro35% (0.35 proportion of 1.0), Cl114 meq/L (114 mmol/L),
Plt230 x 103/mcL (230 x 109/L), Bands4% (0.04 proportion of 1.0),
HCO312 meq/L (12 mmol/L), pH7.32Lymph60% (0.6 proportion of 1.0),
BUN24 mg/dL (8.57 mmol/L), PaO298 mmHgBasophils1% (0.01
proportion of 1.0), Cr1.2 mg/dL (91.50), PaCO223 mmHgEos1% (0.01
proportion of 1.0), Glucose100 mg/dL (5.55 mmol/L).
Urinalysis Specific gravity 1.030pH7.0, Bacteria Absent, Leukocyte Absent,
WBC Absent, RBC Absent, Epithelial cells 1.
3. Based on a client's lab values, which type of dehydration does the nurse
suspect? - CorreCt Answers -Isonatremic.
4. Which intravenous fluids does the nurse anticipate for initial
rehydration? - CorreCt Answers -Sodium chloride 0.9% as 100 mL bolus
over 20 minutes.
, 5. The infant weighs 14 pounds. The healthcare provider (HCP) prescribes
an IV infusion of sodium chloride 0.9% to be infused at 8 mL/kg/hr. How
many milliliters of the prescribed solution should the nurse infuse each
hour? (Enter numerical value only. If rounding is necessary, round to the
nearest whole number.) - CorreCt Answers -51
6. Infant formula is 20 calories per ounce and the caregiver states that the
infant consumes 4 ounces every 4 hours. How many calories per day is the
infant consuming? (Enter numeric value only. If rounding is necessary,
round to the nearest whole number.) - CorreCt Answers -480
7. Which intervention is best for the nurse to delegate to the practical nurse
(PN)? - CorreCt Answers -Place a urine bag on the infant to collect a urine
specimen.
8. Which is the most reliable indicator for fluid loss in the pediatric client? -
CorreCt Answers -Daily weights at the same time each morning.
After 3 hours, the infant still has no urine output. The healthcare provider
(HCP) prescribes an in-and-out catheterization to obtain a urine specimen.
The nurse explains the procedure to the caregiver who begins to cry, stating
the healthcare team is causing the child harm.
9. What is the best response by the nurse? - CorreCt Answers -"This
procedure is important to make the best medical decisions for the infant. It
may be uncomfortable, but it will not cause any long term effects."
During the hourly rounds, the nurse notices that the intravenous fluids
(IVF) did not infuse at the prescribed rate.
(PEDIATRICS)EXAM.
1. Which assessment findings will lead the nurse to believe an infant is
moderately dehydrated? - CorreCt Answers -A sunken fontanel, dry mucous
membranes, and HR of 160 beats/minute.
2. To obtain more information about the client's current status, which
questions are a priority for the nurse to ask family? (Select all that apply.
One, some, or all options may be correct.) - CorreCt Answers -"Have you
offered fluids other than formula?"
"What was the client's last weight?"
Na137 meq/L (137 mmol/L), Hgb14.0 g/dL (140 g/L), WBC13500/mcL
(13.5 x 109/L), K4.8 meq/L (4.8 mmol/L), Hct40% (0.40 proportion of
1.0), Neutro35% (0.35 proportion of 1.0), Cl114 meq/L (114 mmol/L),
Plt230 x 103/mcL (230 x 109/L), Bands4% (0.04 proportion of 1.0),
HCO312 meq/L (12 mmol/L), pH7.32Lymph60% (0.6 proportion of 1.0),
BUN24 mg/dL (8.57 mmol/L), PaO298 mmHgBasophils1% (0.01
proportion of 1.0), Cr1.2 mg/dL (91.50), PaCO223 mmHgEos1% (0.01
proportion of 1.0), Glucose100 mg/dL (5.55 mmol/L).
Urinalysis Specific gravity 1.030pH7.0, Bacteria Absent, Leukocyte Absent,
WBC Absent, RBC Absent, Epithelial cells 1.
3. Based on a client's lab values, which type of dehydration does the nurse
suspect? - CorreCt Answers -Isonatremic.
4. Which intravenous fluids does the nurse anticipate for initial
rehydration? - CorreCt Answers -Sodium chloride 0.9% as 100 mL bolus
over 20 minutes.
, 5. The infant weighs 14 pounds. The healthcare provider (HCP) prescribes
an IV infusion of sodium chloride 0.9% to be infused at 8 mL/kg/hr. How
many milliliters of the prescribed solution should the nurse infuse each
hour? (Enter numerical value only. If rounding is necessary, round to the
nearest whole number.) - CorreCt Answers -51
6. Infant formula is 20 calories per ounce and the caregiver states that the
infant consumes 4 ounces every 4 hours. How many calories per day is the
infant consuming? (Enter numeric value only. If rounding is necessary,
round to the nearest whole number.) - CorreCt Answers -480
7. Which intervention is best for the nurse to delegate to the practical nurse
(PN)? - CorreCt Answers -Place a urine bag on the infant to collect a urine
specimen.
8. Which is the most reliable indicator for fluid loss in the pediatric client? -
CorreCt Answers -Daily weights at the same time each morning.
After 3 hours, the infant still has no urine output. The healthcare provider
(HCP) prescribes an in-and-out catheterization to obtain a urine specimen.
The nurse explains the procedure to the caregiver who begins to cry, stating
the healthcare team is causing the child harm.
9. What is the best response by the nurse? - CorreCt Answers -"This
procedure is important to make the best medical decisions for the infant. It
may be uncomfortable, but it will not cause any long term effects."
During the hourly rounds, the nurse notices that the intravenous fluids
(IVF) did not infuse at the prescribed rate.
