Pediatric Hesi Case Study Fluid and Electrolytes questions with complete solutions Ricky Sanchez is a term newborn. His parents are 18 and 19 years old. Mr. Sanchez works long hours as a mechanic and Mrs. Sanchez stays at home with Ricky, who is their first child. Mr. and Mrs. Sanchez express concern because their own parents live in another city and they are not available to help with Ricky's care.Mrs. Sanchez chooses to formula feed Ricky and she is given a 2-week supply of formula when discharged from the Newborn Nursery. The nurse provides client education related to nutrition and fluid needs of infants. - answer Pediatric HESI Case Study Fluid and Electrolytes What are the principles of fluid balance? - answer Infants have a greater percent of fluid in the extracellular compartment compared to adults; therefore, they have greater and more rapid fluid losses Ricky weighs 3.4 kg. Referencing the fluid composition chart, what is Ricky's daily maintenance fluid requirements? - answer 340 The nurse suspects that Ricky has an excess of fluid and that he may be experiencing water intoxication. Which findings confirms assessment? - answer Irritability (Lethargy or irritability characterize water intoxication.) Specific Gravity of 1.005 (Low specific gravity indicates diulte urine and is associated with water intoxication.) Moist Rales Bilaterally (Moist rales will be heard due to fluid excess.) Ricky is admitted and prescribed a diuretic. What is a priority intervention? - answer implement seizures precautions (Fluid and electrolyte imbalances can cause seizures.) Based on Ricky's weight, what is the correct amount of medication to administer? - answer 0.68 (Ricky weighs 3.4kg. 3.4kg *2mg/kg = 6.8mg. Dose ordered [6.8mg] divided by dose on hand [10mg] times 1mL is 0.68mL to be administered.) Which nutrition option is best suited for 3-week old Ricky, given that his mother has chosen formula feedings? - answer Undiluted commercial iron-fortified formula for the first 6 months not to exceed 32 oz (Iron fortified formula provides all the nutrients an infant needs for the first 6 months of life.) Based on weight loss, what degree of dehydration does Ricky exhibit? - answer Moderate (Ricky has lost 0.9 kgs, which is approximately 9% of his body weight. This is consistent with moderate dehydration.)
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