Which nursing interventions are appropriate for a child with type 1 diabetes who is experiencing deficient fluid volume related to abnormal fluid losses through diuresis and emesis? (Select all that apply.)
A) Initiate IV access.
B) Begin IV fluid replacement with normal saline.
C) Begin IV fluid replacement with D5 1/2NS.
D) Weigh on arrival to the unit and then every other day.
E) Maintain strict intake and output monitoring.

Question

Which nursing interventions are appropriate for a child with type 1 diabetes who is experiencing deficient fluid volume related to abnormal fluid losses through diuresis and emesis? (Select all that apply.)
A) Initiate IV access.
B) Begin IV fluid replacement with normal saline.
C) Begin IV fluid replacement with D5 1/2NS.
D) Weigh on arrival to the unit and then every other day.
E) Maintain strict intake and output monitoring.

Quizplus · Accepted Answer

IV access should always be obtained on a hospitalized child with dehydration and a history of type 1 diabetes.Maintaining circulation is a priority nursing intervention.If the child is vomiting and unable to maintain adequate hydration,fluid volume replacement/rehydration is needed.Normal saline is the initial IV rehydration fluid.Maintaining strict intake and output is essential in calculating rehydration status.D5 1/2NS is not the recommended fluid for rehydration of this patient.Weighing the patient on arrival is important,but following the initial weight,the child needs to be weighed more frequently than every other day.Comparison of admission weight and a weight every 8 hours provides an indication of hydration status.

Which Nursing Interventions Are Appropriate for a Child with Type