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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. While it is a good idea to wear a helmet, the color does not significantly impact safety. The helmet should fit securely and cover the forehead, not the ears.
B. Riding against traffic is unsafe. Cyclists should always ride in the same direction as traffic to ensure they are visible to drivers.
C. The child should always walk the bicycle through crosswalks and intersections to ensure safety and better visibility to drivers.
D. Ensuring the balls of the feet touch the ground while seated on the bicycle helps the child maintain balance and provides a safer, more controlled ride.
Correct Answer is A
Explanation
A. Swelling around the eyelids and mouth can indicate an allergic reaction, which could be a sign of anaphylaxis, a life-threatening condition. This requires immediate attention and intervention.
B. Crying when the injection site is touched is a common and expected response after immunization and does not suggest a serious issue.
C. A slight decrease in appetite after immunizations can be common, but it is not typically a cause for concern unless it is persistent or accompanied by other signs of illness.
D. A mild fever after immunizations is common and usually not alarming. A temperature of 100.7°F is not high enough to be a priority concern unless it is persistent or higher.
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