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London et al., Maternal & Child Nursing Care , 3e 2011 by Pearson Education, Inc. Chapter 46: The Child with Alterations in Fluids, Electrolytes, and AcidBase Balance Chapter 46_LO01_Q01 The neonatal nurse explains to new parents that infants are at greater risk for fluid and electrolyte imbalance than are older children. Which of the following parent comments would indicate that further education is needed? 1. "Infants have a higher metabolic rate than older children do." 2. "An infant has little body water for reserve, as compared with an adult." 3. "Infants lose water through their skin, and they have a larger proportion of skin surface area than older children do." 4. "Infants maintain their temperature by losing heat through their heads." Correct Answer: 4 Rationale: 1. This is a true statement. 2. This is a true statement. 3. This is a true statement. 4. Losing heat through their heads will have minimal affect on fluid loss in infants. Cognitive Level: Analysis Category of Client Need: Physiological Integrity Nursing Process: Evaluation Learning Outcome: 46.1 Describe normal fluid and electrolyte status for children at various ages. Chapter 46_LO02_Q02 A 6-month-old infant is admitted with severe dehydration. Effectiveness of therapy is evaluated with which of the following assessment measures? Select all that apply. 1. Record intake and output accurately. 2. Daily weights on the same scale, same time, with no clothes 3. Document mucous membrane moisture every shift. 4. Evaluate level of consciousness continuously. 5. Document abdominal girth every shift. London et al., Maternal & Child Nursing Care , 3e 2011 by Pearson Education, Inc. Correct Answers: 1; 2; 3; 4 Rationale: 1. All of the choices represent assessment measures that measure the effectiveness of therapy except abdominal girth, which does not provide information regarding hydration status. 2. All of the choices represent assessment measures that measure the effectiveness of therapy except abdominal girth, which does not provide information regarding hydration status. 3. All of the choices represent assessment measures that measure the effectiveness of therapy except abdominal girth, which does not provide information regarding hydration status. 4. All of the choices represent assessment measures that measure the effectiveness of therapy except abdominal girth, which does not provide information regarding hydration status. 5. All of the choices represent assessment measures that measure the effectiveness of therapy except abdominal girth, which does not provide information regarding hydration status. Cognitive Level: Analysis Category of Client Need: Physiological Integrity Nursing Process: Assessment Learning Outcome: 46.2 Identify regulatory mechanisms for fluid and electrolyte balance.... View Full Document

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