A client with gastroenteritis is experiencing severe dehydration. The nurse should anticipate the need for which intervention?
Initiation of antibiotic therapy.
Administration of antidiarrheal agents.
Oral rehydration therapy (ORT)
Intravenous fluid therapy (IVF)
The Correct Answer is D
Choice A rationale:
Initiation of antibiotic therapy is not the primary intervention for severe dehydration in gastroenteritis. Fluid replacement is crucial to correct the fluid and electrolyte imbalances.
Choice B rationale:
Administration of antidiarrheal agents is contraindicated in cases of severe dehydration. These agents can delay the elimination of the causative agent and further worsen fluid loss.
Choice C rationale:
Oral rehydration therapy (ORT) is effective for mild dehydration but may not be sufficient in cases of severe dehydration where oral intake is limited.
Choice D rationale:
Intravenous fluid therapy (IVF) is the appropriate intervention for severe dehydration. IV fluids rapidly restore fluid balance and correct electrolyte imbalances, ensuring timely rehydration and preventing complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Vaginal itching is a common symptom of vulvovaginitis but not a potential adverse effect of antibiotics. It is more indicative of the condition itself rather than a medication side effect.
Choice B rationale:
A fishy odor is characteristic of bacterial vaginosis (BV), not a common adverse effect of antibiotics. BV is caused by an imbalance in vaginal flora and is not directly related to antibiotic therapy.
Choice C rationale:
Increased vaginal discharge is a potential adverse effect of antibiotics. Antibiotics can disrupt the normal vaginal flora, leading to an overgrowth of yeast or other pathogens, which may result in increased discharge.
Choice D rationale:
Photosensitivity is unrelated to antibiotics or vulvovaginitis. It refers to an increased sensitivity to sunlight or artificial light and is not a relevant consideration in this context.
Correct Answer is A
Explanation
Choice A rationale:
Trichomonas vaginalis (TV) infection is treated with medications that have activity against protozoa, such as metronidazole, clindamycin, tinidazole, or secnidazole. These drugs are effective in eradicating the infection.
Choice B rationale:
Oral fluconazole and topical azoles are used to treat fungal infections, such as candidiasis, not Trichomonas vaginalis (TV) infection.
Choice C rationale:
Hormonal therapy with estrogen creams, tablets, or rings is used for menopausal or postmenopausal symptoms, not for the treatment of Trichomonas vaginalis (TV) infection.
Choice D rationale:
Removal of foreign bodies or irritants is a general management strategy and is not specific to treating Trichomonas vaginalis (TV) infection.
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