ATI RN
ATI Pediatrics Exam R37 Questions
Extract:
A 3-year-old child who has had 160 mL of urine output over the past 8 hr period and weighs 33 lb
Question 1 of 5
A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8 hr period. The child weighs 33 lb. Which of the following actions should the nurse take?
Correct Answer: A
Rationale: The correct answer is A: Continue to monitor the client. In a 3-year-old child, the expected urine output is approximately 1 mL per kg per hour. In this case, the child weighs 33 lb, which is roughly 15 kg. So, the expected urine output over 8 hours would be around 120 mL. The child's actual urine output of 160 mL over 8 hours is within the expected range, indicating adequate renal function.
Therefore, there is no immediate concern, and the nurse should continue to monitor the client for any changes.
Option B: Notifying the provider is unnecessary as the urine output is within the expected range.
Option C: Providing oral rehydration fluids is not indicated as the child's urine output is adequate.
Option D: Performing a bladder scan is not necessary at this point as there are no indications of urinary retention.
Extract:
Question 2 of 5
Correct Answer:
Rationale:
Question 3 of 5
Correct Answer:
Rationale:
Question 4 of 5
Correct Answer:
Rationale:
Question 5 of 5
Correct Answer:
Rationale: