Practice Question
The client is an 11-month-old male with a 2-day history of fussiness, increased nasal secretions and cough.
Answer Choices:
Rationale:
Intravenous fluids
✔ The child has significant clinical signs of dehydration, including tachycardia (HR 159 bpm), prolonged capillary refill (5 seconds), pallor, and low urine output.
✔ Oral hydration is insufficient because severe dehydration requires rapid intravascular volume replacement.
✔ IV fluids (e.g., isotonic solutions such as 0.9% NS or Lactated Ringer’s) are the gold standard for restoring circulating volume quickly.
✔ Diuretics are contraindicated because they would worsen fluid deficit.
✔ A regular diet does not address the urgent need for fluid resuscitation.
Severe dehydration
✔ The child lost ~1.4 kg (3 lb) in 1 week, which equals >10% body weight loss — a hallmark of severe dehydration in infants.
✔ Delayed capillary refill, pallor, irritability, and tachycardia are all consistent with advanced hypovolemia.
✔ Severe dehydration in infants can rapidly progress to hypovolemic shock if not corrected promptly.
✔ Identifying severity guides urgency and fluid replacement method.
✔ This level of dehydration requires hospitalization and IV management.
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This question is from PN Maternity-Pediatrics NGN HESI which contains 60 questions.
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The client is an 11-month-old male with a 2-day history of fussiness, increased nasal secretions and cough.
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The client is an 11-month-old male with a 2-day history of fussiness, increased nasal secretions and cough.
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The client is an 11-month-old male with a 2-day history of fussiness, increased nasal secretions and cough.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN HESI Exams
- Domain: Maternity & Newborn Care
- Answer Choices: 0