A nurse is assisting in the care of a preschool aged child in the emergency department.
Complete the following sentence by using the list of options.
The nurse should anticipate a provider prescription for an
The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"D"}
Correct answers: IV fluid bolus and electrolyte replacement
IV fluid bolus: The child shows signs of dehydration (dry mucous membranes, sluggish skin recoil, dark urine, tachycardia).
Electrolyte replacement: The child has hypokalemia (K = 3.2 mEq/L), which needs correction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Air or Barium enema: This is both diagnostic and therapeutic. The enema can reduce the intussusception by relieving the telescoping of the bowel.
B. IV fluids until spasm subsides: While IV fluids are used to manage dehydration, they do not resolve intussusception.
C. Immediate surgery: Surgery is reserved for cases where enemas are unsuccessful or complications like perforation occur.
D. Gastric gavage: This is not related to treating intussusception and does not address the underlying issue.
Correct Answer is C
Explanation
A. Low-protein, low-potassium diet: Protein restriction is not typically required unless severe renal dysfunction exists. Potassium restriction is not necessary with normal output and levels.
B. Low-carbohydrate, low-protein diet: There is no need to restrict carbohydrates.
C. Regular diet, no added salt: Sodium restriction helps manage edema without imposing unnecessary dietary limitations.
D. Low-sodium, fluid-restricted diet: Fluid restriction is not typically required unless there is severe oliguria or fluid overload.
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