Reference no: EM133918290
Questions
1. What temperature route should be used ONLY when no other route is possible? Explain why this route is reserved for these situations?
Rectal because there is risk for rectal perforation and invasive feeling to children.
Oral because there is risk for choking
Auxiliary l because there is risk for discomfort
Blood stick because there is risk for infection
2. List the three components of growth measurement in infants and toddlers
Food, Intake, Weight, Length, Height
3. List 3 assessment elements that you should obtain when dehydration is suspected in a pediatric patient and explain, in one sentence, the pathophysiology of that assessment finding and its connection to dehydration.
4. Write the terminology as they apply to pediatric medication dosing: postnatal age, neonate, infant, children, adolescent, and adult.
Postnatal Age
Neonate
Infant
Children
Adolescent
Adult
5. 11 month old, Cara Pillar (8kg) arrives to the ED lethargic, dry mucous membranes, not tolerating PO liquids, and mother reports multiple episodes of watery stool Cara was diagnosed with gastroenteritis and was placed on IV fluid replacement therapy.
Calculate Cara's hourly IV fluid replacement utilizing the 4, 2, 1 rule
6. Select the additional clinical assessment findings for a moderately dehydrated infant
Dry Mucous Membrane
Increased Cap Refill
Bulging Fontanelle
Poor Skin Turgor
Sunken Fontanelle
Lethargy
Altered Level of Consciousness
Rapid Weight Loss
7. On day 2, Cara continued on her IV fluids and started taking PO fluids in the morning and was tolerating them. Upon your physical assessment in the evening, you note that her bed is wet and her diaper is saturated. Her Mom reports that Cara is more irritable than normal.
What alteration in fluid is this patient at risk for?
Extracellular volume excess
Intracellular volume excess
8. List 3 other clinical assessment findings that you would look for
Skin Edema
Thready Pulse
Weight Gain
Bounding Pulse
9. What would the urine specific gravity be for this patient?
1.001-1.015
1.100-1.200
2.100-2.200
2.001-2.015