A client with a dehydrated child asks the nurse how to prevent dehydration.
What should the nurse educate the client about?
"The importance of maintaining a warm room temperature.”..
"The significance of oral rehydration solution (ORS).”..
"The need for complete blood count (CBC) testing.”..
"The child's need for frequent, heavy meals.”..
The Correct Answer is B
Choice A rationale:
Maintaining a warm room temperature is not the key to preventing dehydration.
Dehydration occurs when the body loses more fluids than it takes in, and temperature control in the room doesn't directly address this issue.
Choice B rationale:
The significance of oral rehydration solution (ORS) is a crucial factor in preventing and treating dehydration.
ORS contains a balanced mixture of salts and sugars that help the body reabsorb water and electrolytes lost due to dehydration.
It is the most effective way to rehydrate a dehydrated child.
Educating the client about the importance of ORS is essential because it provides a clear solution to the problem of dehydration.
Choice C rationale:
The need for a complete blood count (CBC) testing is unrelated to the prevention of dehydration.
CBC is a diagnostic test used to assess various blood parameters, including red and white blood cell counts.
It is not a preventive measure against dehydration.
Choice D rationale:
Suggesting the child's need for frequent, heavy meals is not an appropriate way to prevent dehydration.
In fact, heavy meals can sometimes worsen dehydration as they may be difficult to digest, leading to an increased risk of vomiting and diarrhea, which exacerbate fluid loss.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
“This fluid will help to increase your sodium levels which are currently too low.”.
The nurse should explain to the client that they are receiving Normal Saline (0.9% NaCl) to increase their sodium levels.
This is The correct choice because Normal Saline is a hypertonic solution containing 154 mEq/L of sodium and 154 mEq/L of chloride.
It is used in cases of hyponatremia to raise sodium levels.
Sodium is an essential electrolyte, and low levels can lead to symptoms such as weakness, confusion, and muscle cramps.
Choice B rationale:
“This fluid will help to decrease your sodium levels which are currently too high.”.
Normal Saline is a hypertonic solution that would not be used to lower sodium levels, as it would have the opposite effect and further elevate sodium levels.
Choice C rationale:
“This fluid will help to increase your potassium levels which are currently too low.”.
It is not used to increase potassium levels, and potassium replacement would require a different solution, such as potassium chloride.
Choice D rationale:
“This fluid will help to decrease your potassium levels which are currently too high.”.
Normal Saline does not address high potassium levels; it is used to address hyponatremia and dehydration by increasing sodium levels.
Correct Answer is C
Explanation
“I understand that my child’s hydration status will be continuously assessed.”.
Choice A rationale:
While a child's age and weight may play a role in determining fluid replacement, this statement doesn't encompass the entire concept of managing dehydration.
Monitoring hydration status involves assessing clinical signs and symptoms, as well as ongoing evaluation.
Choice B rationale:
Electrolyte solutions and supplements are indeed part of the treatment for dehydration.
However, this statement doesn't reflect the comprehensive understanding of managing a dehydrated child, including continuous assessment of hydration status.
Choice C rationale:
This statement indicates a correct understanding.
Continuous assessment of a child's hydration status is essential in managing dehydration.
It allows healthcare providers to monitor the child's response to treatment and make necessary adjustments.
Choice D rationale:
Collaboration within the healthcare team is important, but this statement doesn't specifically address the understanding of fluid replacement and dehydration management.
The correct response is choice C because it highlights the critical aspect of continuous assessment, which is essential to ensure that the child's hydration status is being monitored effectively during treatment.
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