Dehydration and Fluid Balance Assessment Quiz

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Questions and Answers

What are the Highly recommended diagnostic tests for dehydration?

  • Potassium, hemoglobin, serum osmolarity, urinalysis
  • Sodium, potassium, chloride, BUN (correct)
  • Calcium, glucose, hemoglobin, urinalysis
  • Urine sodium, urine osmolarity, glucose, BUN

Which of the following is a sign of significant dehydration?

  • Moist mucosa
  • Increased urine output
  • High body weight
  • Low blood pressure (correct)

What is the most common cause of hypovolemic shock in infants and children?

  • Burns
  • Diabetes mellitus
  • Fluid intake overload
  • Fluid loss from vomiting or diarrhea (correct)

In hypernatremic dehydration, which is true regarding water and sodium loss?

<p>Water loss &gt; sodium loss (C)</p> Signup and view all the answers

Which type of dehydration is characterized by sodium loss being greater than water loss?

<p><strong>Hyponatremic dehydration</strong> (C)</p> Signup and view all the answers

Mild dehydration is defined by a weight loss of less than __% of body weight.

<p><strong>5%</strong> (A)</p> Signup and view all the answers

What is a clinical feature of severe dehydration?

<p>Markedly decreased anterior fontanel (D)</p> Signup and view all the answers

Which symptom is associated with hyponatremia?

<p>Anorexia and nausea (D)</p> Signup and view all the answers

What is recommended to manage hyponatremia?

<p>Avoid rapid correction of sodium levels (D)</p> Signup and view all the answers

Which fluid should be used to supplement a breast-feeding child with a fluid deficit?

<p>Pedialyte (D)</p> Signup and view all the answers

Which parameter is indicative of moderate dehydration?

<p>Rapid, weak heart rate (C)</p> Signup and view all the answers

If a bottle-fed child experiences increased diarrhea when returning to their usual cow's milk formula, what should be done?

<p>Switch to a soy-based formula or lactose-free formula (D)</p> Signup and view all the answers

What is common in severe dehydration?

<p>Slowed capillary refill (B)</p> Signup and view all the answers

How long should a child be kept on a soy-based formula or lactose-free formula before switching back to regular cow's milk formula?

<p>7-10 days (C)</p> Signup and view all the answers

Which symptom indicates a more advanced stage of hyponatremia?

<p>Disorientation (C)</p> Signup and view all the answers

What should be done if a child is vomiting?

<p>Tolerate small sips of fluids by mouth (D)</p> Signup and view all the answers

What is a sign of overhydration in a child?

<p>Tachypnea and dyspnea (D)</p> Signup and view all the answers

When should a parent call the doctor for a child with diarrhea or vomiting?

<p>If the child's diarrhea or vomiting increases (B)</p> Signup and view all the answers

Which of the following is NOT a sign of dehydration on physical examination?

<p>Moist breath sounds and cough (D)</p> Signup and view all the answers

What is the most accurate indicator of fluid status in a hospitalized child?

<p>Daily weight measurement (D)</p> Signup and view all the answers

Which of the following is NOT a respiratory sign associated with dehydration or hypovolemia?

<p>Moist breath sounds (B)</p> Signup and view all the answers

Which of the following cardiovascular signs is an early subtle sign of hypovolemia?

<p>Increased heart rate (A)</p> Signup and view all the answers

What information should be gathered regarding a child's fluid status?

<p>All of the above (D)</p> Signup and view all the answers

What is a sign of fluid overload as opposed to dehydration?

<p>Moist breath sounds (C)</p> Signup and view all the answers

Which of the following is recommended for a bottle-fed child with vomiting and diarrhea?

<p>Early re-feeding with the child's normal formula within 6-12 hours (C)</p> Signup and view all the answers

What is the recommended treatment for severe dehydration in a child with vomiting and diarrhea?

<p>Intravenous (IV) fluids (C)</p> Signup and view all the answers

If a child with vomiting and diarrhea is unable to receive IV fluids after three attempts, what is the recommended alternative?

<p>Establish intraosseous access (B)</p> Signup and view all the answers

Which of the following conditions would warrant hospital admission for a child with vomiting and diarrhea?

<p>Severe dehydration or intractable vomiting (C)</p> Signup and view all the answers

What is the recommended approach for correcting the fluid deficit in a child with severe dehydration?

<p>Replace 50% of the deficit over 8 hours and the remainder over the next 16 hours (C)</p> Signup and view all the answers

Which of the following would NOT be an indication for hospital admission in a child with vomiting and diarrhea?

<p>Mild dehydration with adequate oral intake and no signs of complications (A)</p> Signup and view all the answers

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