Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Pediatrics

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A four-year-old child is admitted with burns on his legs and lower abdomen. A student nurse asks the staff nurse how to assess the patient’s hydration status. The staff nurse should respond that a less than adequate fluid replacement is when there is a:
  1. Falling hematocrit and decreasing urine volume
  2. Stable hematocrit and increasing urine volume
  3. Decreasing hematocrit and increasing urine volume
  4. Rising hematocrit and decreasing urine volume
Explanation
Answer - D - The staff nurse should respond that a less than adequate fluid replacement is when there is a rising hematocrit and decreasing urine volume. A rising hematocrit indicates a decreased total blood volume, a finding consistent with dehydration.
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