ANCC Medical-Surgical Nursing Exam Prep

Category - Medical-Surgical Nursing Practice Test

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Fluid restriction of 800 ml in 24 hours was ordered for a 5-year-old child with acute glomerulonephritis. To best assist the client to cope with these limitations, the nurse should:

hold the fluids from 8am to 8pm
equally divide the intake per shift
allow fluid as desired until 800 ml is reached.
give fluids in 1-ounce calibrated cup throughout the waking hours.

Explanation

Answer: D - It allows the child to take full 1-ounce cup of fluid without long waits; a full cup, though it is small cup creates an illusion that he is receiving more. A child can’t tolerate long hours of waiting for a fluid.

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