A nurse is caring for a child who has had diarrhea for 3 days. Which of the following actions should the nurse take?
Weigh the child weekly.
Keep the child NPO for the next 12 hr.
Collect a stool culture.
Offer the child 120 mL (4 oz) of apple juice every 2 hr.
The Correct Answer is C
A. Weighing the child weekly is not an appropriate intervention for managing acute diarrhea, as it does not address the immediate concern of dehydration or infection.
B. Keeping the child NPO for 12 hours is generally not recommended unless the child is severely dehydrated or vomiting, as it could lead to further dehydration. Hydration and appropriate refeeding are important in managing diarrhea.
C. A stool culture can help determine the cause of diarrhea (such as bacterial infection) and guide appropriate treatment. This is a priority in determining the underlying cause of the child's symptoms.
D. Offering apple juice is not recommended for diarrhea, as high fructose content can worsen diarrhea. Oral rehydration solutions (ORS) or clear fluids are more appropriate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Repositioning the pulse oximetry probe every 2 hours is unnecessary unless there is a concern about skin integrity or the accuracy of the reading. Continuous monitoring generally requires the probe to be in place for longer periods.
B. Taping the wire to the palm of the hand is not recommended because it may cause skin irritation or pressure injury. The sensor should be placed on a finger or toe, where blood flow is easily accessible.
C. Applying the sensor to the index fingernail is not ideal. Pulse oximetry is most accurate when applied to a finger or toe, but not directly on the nail itself. It should be placed on the skin near the nail.
D. Warming the skin prior to probe placement is recommended to ensure better circulation and accurate pulse oximetry readings, especially in children or individuals with poor peripheral circulation.
Correct Answer is B
Explanation
A. Chocolate malt typically contains malted barley, which contains gluten. This would not be appropriate for a child with celiac disease, as gluten can trigger an immune response and cause damage to the small intestine.
B. Rice is a gluten-free grain, making rice pudding a safe food choice for children with celiac disease. The parent demonstrates understanding of appropriate gluten-free foods.
C. Rye bread contains gluten, which is harmful to individuals with celiac disease. Rye is not a suitable option for this child.
D. Barley contains gluten and should be avoided in children with celiac disease. Barley-based breakfast cereals would not be safe for the child.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.