A client with gastroenteritis is prescribed oral rehydration therapy (ORT) The client expresses concern about not being able to eat solid food. What should the nurse say in response?
"ORT is enough to provide all the necessary nutrients during this time.”
"You can have soft and bland foods once the vomiting subsides.”
"You should try to eat regular meals to speed up the recovery process.”
"It's normal to have a decreased appetite during gastroenteritis.”
The Correct Answer is D
Choice A rationale:
ORT (oral rehydration therapy) helps replace lost fluids and electrolytes but does not provide all the necessary nutrients. It is essential to address the client's concerns about food intake.
Choice B rationale:
Soft and bland foods are recommended once vomiting subsides, but suggesting this before addressing the client's concern may not effectively address the issue.
Choice C rationale:
Encouraging regular meals may not be appropriate during gastroenteritis, as the digestive system needs time to recover. Eating regular meals could potentially exacerbate symptoms.
Choice D rationale:
Gastroenteritis commonly leads to a reduced appetite due to nausea, vomiting, and stomach discomfort. Assuring the client that a decreased appetite is normal and emphasizing the importance of fluid intake through ORT is appropriate.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Avoiding handwashing after using the toilet would increase the risk of transmitting infection, as proper hand hygiene is essential to prevent the spread of pathogens.
Choice B rationale:
Sharing personal items with family members can contribute to the transmission of infections. It is important to discourage this behavior.
Choice C rationale:
Washing fruits and vegetables before eating helps remove potential contaminants and pathogens, reducing the risk of ingesting harmful microorganisms.
Choice D rationale:
Using the same cup as a friend to drink can lead to the spread of infections through direct contact with contaminated surfaces. It is advisable to use separate utensils and containers to prevent transmission.
Correct Answer is B
Explanation
Choice A rationale:
Diarrhea is not primarily a defense mechanism to eliminate infectious agents. It is usually a response to infections and can lead to significant fluid and electrolyte losses, which can be harmful.
Choice B rationale:
Medicines for diarrhea can interfere with the body's natural process of eliminating the infectious agent. Moreover, some anti-diarrheal medications can slow down the bowel motility, which may worsen dehydration and electrolyte imbalances.
Choice C rationale:
Toxic megacolon is a severe complication of conditions like inflammatory bowel disease, not a common adverse effect of diarrhea medicines. This response may confuse the mother and is not directly related to the child's gastroenteritis.
Choice D rationale:
While it is true that diarrhea is a common symptom of gastroenteritis and usually resolves on its own, it is important to address the potential risks of dehydration and electrolyte imbalances that can occur, especially in children.
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