A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of the following actions should the nurse take?

Initiate oral rehydration therapy.

Offer chicken broth.

Start a hypertonic IV solution.

Keep the child NPO (nothing by mouth) until the diarrhea subsides.

Answer and Explanation

The Correct Answer is A

Choice A reason: Oral rehydration therapy is the first-line treatment for dehydration due to diarrhea, as it effectively restores fluid and electrolyte balance.

Choice B reason: While chicken broth may provide some salt, it lacks the necessary electrolytes and glucose needed for effective rehydration.

Choice C reason: A hypertonic IV solution is not typically used for dehydration due to diarrhea, as it can exacerbate fluid shifts and dehydration.

Choice D reason: Keeping a child NPO is not recommended as it can lead to further dehydration and delay recovery.

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Correct Answer is D

Explanation

Choice A reason: Zanamivir is indeed recommended for children 1 year and older, but it is not the only antiviral medication for influenza. It is an inhaled medication and may not be suitable for all children.

Choice B reason: Amantadine is an antiviral medication; however, it is not commonly used for influenza prevention due to resistance. It is also not recommended for children under 1 year of age.

Choice C reason: Rimantadine is similar to amantadine and is administered orally, not intramuscularly. Like amantadine, resistance has limited its use for influenza treatment and prevention.

Choice D reason: Oseltamivir is an oral antiviral medication that can treat influenza if given within 48 hours of symptom onset. It can reduce the duration of symptoms and is suitable for children and adults.

A. Blood creatinine 1.3 mg/dL B. Urine output 550 mL in 24 hours C. Blood pressure 100/74 mm Hg D. BUN 8 mg/dL

Correct Answer is A

Explanation

Choice A reason: A blood creatinine level of 1.3 mg/dL is elevated for a school-age child and indicates impaired kidney function, which is a concern in acute glomerulonephritis.

Choice B reason: A urine output of 550 mL in 24 hours is within the normal range for a school-age child and does not need to be reported unless there is a significant change.

Choice C reason: A blood pressure of 100/74 mm Hg is within the normal range for a school-age child and does not indicate an immediate concern.

Choice D reason: A BUN level of 8 mg/dL is within the normal range for a school-age child and does not need to be reported unless there is a significant change.

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A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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