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 B
Explanation
Choice A rationale:
Bacterial vaginosis (BV) is not commonly transmitted from mother to child during delivery. It is primarily associated with an imbalance in vaginal bacteria.
Choice B rationale:
Candidal vulvovaginitis (CV), caused by the fungus Candida, can be transmitted from mother to child during delivery as the baby passes through the birth canal.
Choice C rationale:
Trichomonas vaginalis (TV) can also be transmitted from mother to child during delivery, but CV is a more common cause of transmission.
Choice D rationale:
Atrophic vaginitis (AV) is not typically transmitted from mother to child during delivery. It is often associated with hormonal changes during menopause.
Choice E rationale:
This option acknowledges other types of vulvovaginitis with various modes of transmission, but the specific question asks about transmission from mother to child during delivery. CV is the most appropriate choice in this context.
Correct Answer is ["A","B","C","D"]
Explanation
Choice A rationale:
Avoiding douching is recommended to prevent bacterial vaginosis (BV) as douching can disrupt the natural vaginal flora and increase the risk of BV.
Choice B rationale:
Using condoms or other barrier methods during sexual intercourse helps reduce the risk of BV transmission, as it prevents the introduction of potentially harmful bacteria into the vagina.
Choice C rationale:
Limiting sexual partners can lower the risk of BV, as having multiple sexual partners may increase the likelihood of exposure to different bacteria that can disrupt the vaginal flora.
Choice D rationale:
Treating underlying conditions, such as diabetes mellitus, is important because uncontrolled diabetes can create an environment conducive to BV development due to elevated glucose levels.
Choice E rationale:
Using hormonal therapy as prescribed is not directly related to preventing BV. Hormonal therapy typically pertains to conditions like hormone replacement therapy and is not a preventive measure for BV.
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