4 breastfed babies tend to take longer to complete a

4. Breastfed babies tend to take longer to complete a feeding than formula-fed
babies.
3. A 4-month-old has had vomiting and diarrhea for 24 hours. The infant is fussy, and
the anterior fontanel is sunken. The nurse notes the infant does not produce tears
when crying. Which task will help confirm the diagnosis of dehydration?
1. Urinalysis obtained by bagged specimen.
2. Urinalysis obtained by sterile catheterization.
3. Analysis of serum electrolytes.
4. Analysis of cerebrospinal fluid.
4. A 4-month-old is brought to the emergency department with severe dehydration.
The heart rate is 198, and her blood pressure is 68/38. The infant’s anterior fontanel
is sunken. The nurse notes that the infant does not cry when the intravenous line
is inserted. The child’ s parents state that she has not “held anything down” in 18
hours. The nurse obtains a finger-stick blood sugar of 94. Which would the nurse
expect to do immediately?
1. Administer a bolus of normal saline.
2. Administer a bolus of D 10 W.
3. Administer a bolus of normal saline with 5% dextrose added to the solution.
4. Offer the child an oral rehydrating solution such as Pedialyte.

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5. The nurse is caring for a 2-year-old child who was admitted to the pediatric unit
for moderate dehydration due to vomiting and diarrhea. The child is restless with
periods of irritability. The child is afebrile with a heart rate of 148 and a blood
pressure of 90/42. Baseline laboratory tests reveal the following: Na 152, Cl 119,
and glucose 115. The parents state that the child has not urinated in 12 hours. After
establishing a saline lock, the nurse reviews the physician’ s orders. Which order
should the nurse question?
1. Administer a saline bolus of 10 mL/kg, which may be repeated if the child does
not urinate.
2. Recheck serum electrolytes in 12 hours.
3. After the saline bolus, begin maintenance fluids of D5 ¼ NS with 10 mEq
KCl/L.
4. Give clear liquid diet as tolerated.
6. The parent of a 5-year-old states that the child has been having diarrhea for 24
hours, vomited twice 2 hours ago, and now claims to be thirsty. The parent asks
what to offer the child because the child is refusing Pedialyte. Which is the nurse’s
most appropriate response?
1. “You can offer clear diet soda such as Sprite and ginger ale.”
2. “Pedialyte is really the best thing for your child, who, if thirsty enough, will
eventually drink it.”
3. “Pedialyte is really the best thing for your child. Allow your child some choice
in the way to take it by offering small amounts in a spoon, medicine cup, or
syringe.”
4. “It really does not matter what your child drinks as long as it is kept down. Try
offering small amounts of fluids in medicine cups.”
7. The nurse is caring for a 9-month-old with diarrhea secondary to rotavirus. The
child has not vomited and is mildly dehydrated. Which is likely to be included in
the discharge teaching?