Practice Quiz

CCNS Certified Clinical Nurse Specialist

Category - Pediatrics

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A nine-year-old boy has been transferred back to the unit after cardiac surgery. The doctor advised the nurse to monitor his hydration status. Which of the following would a nurse need to include in the plan of care to evaluate that the fluid needs are being met?
  1. Notify the physician if the cardiac rate is >60 bpm
  2. Insert a foley catheter
  3. Prepare to assist with an arterial line to monitor BP
  4. Calculate the daily maintenance fluid replacement and ensure proper delivery
Explanation
Answer - D - A nurse needs to include in the plan of care to calculate the daily maintenance fluid replacement and ensure proper delivery. It is vital for pediatric nurses to know exactly how much fluid should be delivered each twenty-four hours to evaluate proper fluid needs.
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