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 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.

A. "The client meets the criteria for the chronic asymptomatic HIV infection phase." B. "The client has developed Acquired Immunodeficiency Syndrome (AIDS)." C. "The client's CD4+ T-cell count is within the normal range." D. "The client meets the criteria for the acute HIV infection phase."

Correct Answer is B

Explanation

Choice A reason: This choice is incorrect because a CD4+ T-cell count of less than 200 cells/µL and the presence of PCP are indicative of AIDS, not the chronic asymptomatic phase of HIV.

Choice B reason: This is the correct choice. A CD4+ T-cell count of less than 200 cells/µL and an opportunistic infection such as PCP meet the CDC criteria for an AIDS diagnosis.

Choice C reason: This choice is incorrect. A CD4+ T-cell count of less than 200 cells/µL is below the normal range and is one of the criteria for an AIDS diagnosis.

Choice D reason: This choice is incorrect because the acute HIV infection phase is characterized by a high viral load and a decrease in CD4+ T-cell count, but not necessarily below 200 cells/µL or the presence of opportunistic infections.

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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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Correct Answer is A

Explanation

Correct Answer is B

Explanation

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