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A client’s parent asks a nurse about how they can prevent their child from becoming dehydrated again in future.
Which of the following advice should be given by the nurse?

Ensure appropriate fluid intake based on age and weight.

Monitor for signs of dehydration such as dry mucous membranes and decreased urine output.

Encourage consumption of electrolyte solutions during periods of illness.

All these measures are necessary to prevent dehydration in children.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Ensure appropriate fluid intake based on age and weight.

Rationale: This is an essential piece of advice to prevent dehydration in children.

Proper fluid intake based on age and weight helps maintain hydration.

However, it's not the only advice that should be given.

Choice B rationale:

Monitor for signs of dehydration such as dry mucous membranes and decreased urine output.

Rationale: Monitoring for signs of dehydration is crucial, but it's not the only preventive measure.

Detecting dehydration early is important for timely intervention, but proactive prevention is also necessary.

Choice C rationale:

Encourage consumption of electrolyte solutions during periods of illness.

Rationale: Encouraging the consumption of electrolyte solutions during illness is a valuable piece of advice, especially when children may lose fluids due to vomiting or diarrhea.

However, it's not the only preventive measure.

Choice D rationale:

All these measures are necessary to prevent dehydration in children.

Rationale: This is The correct answer.

Preventing dehydration in children involves a combination of measures, including ensuring appropriate fluid intake, monitoring for signs of dehydration, and encouraging electrolyte solutions during illness.

All these measures work together to keep a child well-hydrated and prevent dehydration.

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Correct Answer is B

Explanation

Choice A rationale:

Maintaining a warm room temperature is not the key to preventing dehydration.

Dehydration occurs when the body loses more fluids than it takes in, and temperature control in the room doesn't directly address this issue.

Choice B rationale:

The significance of oral rehydration solution (ORS) is a crucial factor in preventing and treating dehydration.

ORS contains a balanced mixture of salts and sugars that help the body reabsorb water and electrolytes lost due to dehydration.

It is the most effective way to rehydrate a dehydrated child.

Educating the client about the importance of ORS is essential because it provides a clear solution to the problem of dehydration.

Choice C rationale:

The need for a complete blood count (CBC) testing is unrelated to the prevention of dehydration.

CBC is a diagnostic test used to assess various blood parameters, including red and white blood cell counts.

It is not a preventive measure against dehydration.

Choice D rationale:

Suggesting the child's need for frequent, heavy meals is not an appropriate way to prevent dehydration.

In fact, heavy meals can sometimes worsen dehydration as they may be difficult to digest, leading to an increased risk of vomiting and diarrhea, which exacerbate fluid loss.

A. Normal saline (0.9% NaCl). B. Half normal saline (0.45% NaCl). C. Lactated Ringer’s. D. D5W (5% dextrose in water).

Correct Answer is A

Explanation

Normal saline (0.9% NaCl).

Choice A rationale:

Normal saline (0.9% NaCl) is the most appropriate choice for a client with cerebral edema.

This isotonic solution is commonly used to maintain intravascular volume and provides a neutral effect on fluid balance in the brain.

It does not introduce additional electrolytes that could potentially worsen cerebral edema.

Choice B rationale:

Half normal saline (0.45% NaCl) is not the best choice for cerebral edema because it is hypotonic and may lead to cellular swelling, potentially exacerbating the edema.

Choice C rationale:

Lactated Ringer's, while isotonic, contains additional electrolytes and lactate.

In the case of cerebral edema, it is safer to use a solution with a simpler composition like normal saline to avoid any potential complications related to electrolyte imbalances.

Choice D rationale:

D5W (5% dextrose in water) is not recommended for cerebral edema because it contains dextrose and may not adequately address the underlying issue of increased intracranial pressure associated with cerebral edema.

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A client’s parent asks a nurse about how they can prevent their child from becoming dehydrated again in future.Which of the following advice should be given by the nurse?

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A client’s parent asks a nurse about how they can prevent their child from becoming dehydrated again in future.
Which of the following advice should be given by the nurse?