A client with gastroenteritis reports severe abdominal pain and signs of dehydration. What action should the nurse take first?
Administer an over-the-counter antidiarrheal medication.
Provide oral rehydration solution (ORS) or IV fluids as indicated.
Suggest increasing intake of high-fiber foods to promote bowel movements.
Advise the client to fast for the next 24 hours to rest the digestive system.
The Correct Answer is B
A) Incorrect. Antidiarrheal medications can be considered but are not the first-line treatment for severe cases of gastroenteritis.
B) Correct. Rehydration is the primary intervention for clients with severe abdominal pain and signs of dehydration due to gastroenteritis.
C) Incorrect. Increasing fiber intake is not recommended in the acute phase of gastroenteritis, as it may exacerbate symptoms.
D) Incorrect. Fasting is not recommended in gastroenteritis; rehydration and appropriate nutrition are crucial.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Incorrect. Limiting hand hygiene is not a recommended practice; in fact, it increases the risk of infection.
B) Incorrect. While vaccinations are important for overall health, there is no specific vaccine for all types of gastroenteritis.
C) Incorrect. Encouraging children to share personal items can increase the risk of spreading gastroenteritis.
D) Correct. Practicing good hand hygiene and proper food handling are essential measures to prevent the spread of gastroenteritis, especially in young children who may be more susceptible to infections.
Correct Answer is B
Explanation
A) Incorrect. Consuming large meals can lead to increased pressure on the lower esophageal sphincter, potentially exacerbating symptoms of GERD.
B) Correct. Avoiding lying down for at least 2 hours after meals can help prevent acid reflux and heartburn by allowing the stomach to properly digest food.
C) Incorrect. Spicy foods can trigger heartburn in some individuals, so they should be avoided or consumed in moderation in those with GERD.
D) Incorrect. Engaging in vigorous exercise immediately after meals may exacerbate symptoms of GERD. It is advisable to wait until digestion is underway before participating in strenuous physical activity.
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