A child has fluid volume deficit. The nurse performs an assessment and determines that the child is improving and the deficit is resolving if which finding is noted?a. the child has no tearsb. urine specific gravity is 1.035c. capillary refill is less than 2 seconds d. urine output is less than 1 mg/kg/hr
C. CAPILLARY REFILL IS LESS THAN 2 SECONDS
The correct answer is c. Capillary refill is less than 2 seconds.
Capillary refill is a quick way to assess the adequacy of peripheral circulation. In a child who is experiencing fluid volume deficit, the capillary refill time may be prolonged, indicating poor perfusion. As the child’s condition improves and the fluid deficit is resolved, the capillary refill time should return to normal, which is a refill time of less than 2 seconds.
Option a, the child has no tears, is not an appropriate indicator of fluid volume status. Although dehydration can cause dry eyes, the absence of tears does not necessarily indicate an improvement in fluid volume deficit.
Option b, urine specific gravity is 1.035, is characteristic of dehydration, not improvement in fluid volume status. An ideal urine specific gravity should be between 1.002-1.030.
Option d, urine output is less than 1 mg/kg/hr, is another indicator of dehydration, as well as acute kidney injury. An improvement in fluid volume status is indicated by an increase in urine output, not a decrease.
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