76. A child with gastroenteritis is admitted to a pediatric unit. The child is severely dehydrated and anuric. After the child receives a fluid bolus, a physician orders continuous IV fluids. Which IV fluid order should a nurse question?
76. A child with gastroenteritis is admitted to a pediatric unit. The child is severely dehydrated and anuric. After the child receives a fluid bolus, a physician orders continuous IV fluids. Which IV fluid order should a nurse question?
. 0.45% NaCl with KCl 20 mmol/L.
. 0.45% NaCl with 5% glucose.
. 0.9% NaCl.
. 0.9% NaCl with 5% glucose.
Test-Taking Tip
Look for the answer that is different from the group. Answer 1 is the only one containing potassium.
Content Area: Child Health, Gastrointestinal; Integrated Process: Nursing Process, Analysis; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Parenteral/Intravenous Therapies
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Answer 1 is correct because the nurse should question an order to administer an IV solution containing potassium to a child who is anuric. Potassium should not be added to a child's IV until kidney function is established by the return of urine output. Answer 2 is incorrect because this would be an acceptable order for continuous IV fluids. Answer 3 is incorrect because this would be an acceptable order for continuous IV fluids. Answer 4 is incorrect because this would be an acceptable order for continuous IV fluids.