Very hard

A child receiving intravenous fluids is at risk of fluid imbalance. Which nursing practice provides the most useful ongoing information about fluid status?

Correct answer: B. Record the child’s weight at the same time each day

  • A. Weigh the child at different times each day
  • B. Record the child’s weight at the same time each day
  • C. Measure the child’s height after every fluid change
  • D. Estimate hydration from the child’s appetite alone

Explanation

Daily weight measured under similar conditions is a sensitive indicator of fluid gain or loss. Intake and output, oedema, urine concentration and clinical signs should also be assessed rather than relying on appetite.

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Care of the hospitalised child covers admission assessment, monitoring vital signs, medication safety, pain relief, nutrition, hygiene, infection prevention and safe discharge planning. It also addresses atraumatic care, therapeutic play, communication with children and parents, family participation, separation anxiety, safeguarding and the child’s rights during hospital care.

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