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A 3-year-old patient is admitted to the hospital with a fever, productive cough, nausea, and loss of appetite. She is uncomfortable and refuses everything to eat except applesauce. A diagnosis of bacterial pneumonia is made, and the child is started on an IV of 500 mL Lactated Ringers at 63 mL/hr via IV pump. An order for ampicillin 500 mg in 50 mL IVPB to infuse over 30 min every 6 hr is also written. The nurse is assessing the child's need for fluid and electrolyte balance. Which of the following are true about the IV of 500 mL Lactated Ringers infusing at 63 mL/hr? Select all that apply. Oral rehydration therapy alone is not enough if the patient has loss of appetite and nausea. IV fluids are required to maintain fluid balance and replace fluid loss from normal processes that include breathing, sweating, and elimination. This IV will provide replacement for the excessive loss of fluids from drain tubes or diarrhea. This IV will replace "mL for mL" all fluid loss from coughing and fever. The nurse can double-check the hourly maintenance IV rates for children by using one of the formulas, such as the 4-2-1 Method.
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