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CCRN Critical Care Nursing

Category - Pediatrics

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Nurse Beyonce is caring for a 20 lbs, 6 month-old with a 3 day history of loose watery stool, vomiting and fever. Peripheral intravenous therapy has been initiated, with 5% dextrose in 0.33% normal saline with 20 mEq of potassium per liter infusing at 40 ml/hr. Which finding should be reported to the health care provider immediately?

3 episodes of vomiting within a period of an hour
crying and irritability
sucking on a pacifier too vigorously
anuria within the past 4 hours

Explanation

Answer: D - The concern is possible Hyperkalemia, which could occur with continued potassium administration and a decrease in urinary output since potassium is excreted via the kidneys

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CCRN Critical Care Nursing

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