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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. This advice encourages the client to monitor their temperature and take appropriate action if it rises significantly.
B) Incorrect. While a fever is expected with gastroenteritis, it can still be managed to improve the client's comfort.
C) Incorrect. Ibuprofen may not be the best choice for everyone, and it's important to specify a temperature threshold for intervention.
D) Incorrect. A fever of 100°F (37.8°C) is not a critical threshold that would necessitate an immediate visit to the emergency room.
Correct Answer is A
Explanation
A) Correct. Gastroenteritis is most commonly caused by viral infections, such as norovirus or rotavirus.
B) Incorrect. While bacterial infections can cause gastroenteritis, they are not the sole cause.
C) Incorrect. Parasitic infections are less common causes of gastroenteritis compared to viral and bacterial infections.
D) Incorrect. Fungal infections are rare causes of gastroenteritis and are not considered primary pathogens.
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