A nurse is caring for a child who has dehydration. Which of the following findings should the nurse expect?<\/p>\n\n\n\n
A.
Hct 45%.<\/p>\n\n\n\n
B.
Urine specific gravity 1.035.<\/p>\n\n\n\n
C.
Capillary refill less than 2 seconds.<\/p>\n\n\n\n
D.
Urine output 35 ml\/hr.<\/p>\n\n\n\n
The Correct Answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n The correct answer is B. Urine specific gravity 1.035<\/strong>.<\/p>\n\n\n\n Explanation:<\/strong><\/p>\n\n\n\n Dehydration in children is a critical condition that requires prompt recognition and management. When assessing a child with dehydration, specific clinical findings can provide valuable insights into the severity of the condition. Among the options provided, urine specific gravity of 1.035 is a significant indicator.<\/p>\n\n\n\n Urine Specific Gravity:<\/strong> Urine specific gravity measures the concentration of solutes in the urine. Normal urine specific gravity ranges from 1.010 to 1.030. An elevated urine specific gravity, such as 1.035, indicates that the urine is more concentrated. This concentration is a direct response to dehydration. When the body is dehydrated, it conserves water and concentrates urine to retain as much fluid as possible. Therefore, a specific gravity greater than 1.030 suggests that the child is experiencing dehydration.<\/p>\n\n\n\n Other Options:<\/strong><\/p>\n\n\n\n A. Hematocrit (Hct) 45%:<\/strong> While an elevated hematocrit might be seen in cases of severe dehydration due to hemoconcentration, it is not as directly indicative of dehydration as urine specific gravity. Normal hematocrit levels vary but are generally around 34% to 44% in children. A hematocrit of 45% may be slightly elevated, but it is not specific enough to diagnose dehydration on its own.<\/p>\n\n\n\n C. Capillary Refill Less Than 2 Seconds:<\/strong> Capillary refill time is a measure of blood flow and is used to assess the circulatory status. A capillary refill time of less than 2 seconds is considered normal and does not indicate dehydration. Typically, capillary refill time greater than 2 seconds may suggest dehydration or circulatory issues.<\/p>\n\n\n\n D. Urine Output 35 ml\/hr:<\/strong> Normal urine output in children varies with age and body size but is generally higher than 35 ml\/hr in well-hydrated children. Low urine output is a sign of dehydration, but urine output alone does not provide the complete picture of hydration status as accurately as urine specific gravity.<\/p>\n\n\n\n In summary, urine specific gravity of 1.035 is a reliable indicator of dehydration as it reflects the body’s effort to conserve water by producing more concentrated urine.<\/p>\n","protected":false},"excerpt":{"rendered":" A nurse is caring for a child who has dehydration. Which of the following findings should the nurse expect? A.Hct 45%. B.Urine specific gravity 1.035. C.Capillary refill less than 2 seconds. D.Urine output 35 ml\/hr. The Correct Answer and Explanation is: The correct answer is B. Urine specific gravity 1.035. Explanation: Dehydration in children is […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-139018","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/139018","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=139018"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/139018\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=139018"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=139018"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=139018"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}