Difficulty: Medium
Average Score: 63%
Simulated
Passage / Scenario
A 3-year-old child with 160 mL urine output over 8 hr, weighs 33 lb.A nurse is caring for a 3-year-old child who has had 160 mL of urine output over the past 8 hr period. The child weighs 33 lb. Which of the following actions should the nurse take?
Correct answer
C
Rationale
The correct answer is C: Provide oral rehydration fluids. The child's urine output is below the expected range for a 3-year-old, indicating possible dehydration. Providing oral rehydration fluids can help replenish lost fluids and prevent further complications. Other choices are incorrect: A- Continuing to monitor without intervention may lead to dehydration worsening; B- Performing a bladder scan is not indicated for addressing low urine output; D- Notifying the provider is not the initial action for managing dehydration in this scenario.