A nurse is caring for a 45-kg (99-lb)child undergoing a water deprivation test.At a routine assessment during the test,the nurse notes the child's weight at 42 kg.Which action by the nurse takes priority?
A) Allows the child to have clear liquids, like broth
B) Documents the findings and continues to monitor
C) Increases the rate of the IV fluid infusion by 5%
D) Notifies the health-care provider immediately

Question

Quizplus · Accepted Answer

During a water deprivation test,the child's weight is not allowed to decrease by more than 2-5%.This child's weight has dropped by more than 5%,so the health-care provider must be notified immediately and the test stopped.Broth contains high levels of sodium,which is already high in the dehydrated child.The child's IV fluid rate may need to be increased,but not without the provider's order.Documenting the findings is important,but does not take priority over notifying the provider.

A Nurse Is Caring for a 45-Kg (99-Lb)child Undergoing a Water