A nurse is caring for a child who has mild dehydration due to an Escherichia coli infection. Which of the following actions should the nurse take?

Encourage intake of fruit juices.

Give 2 tsp of oral rehydration solution every 5 to 10 min.

Administer promethazine as needed.

Offer one banana and 1/2 cup of rice with each meal.

Answer and Explanation

The Correct Answer is B

Choice A reason:

Encouraging fruit juices is not the best approach for rehydration in a child with mild dehydration. Fruit juices can be high in sugar and may worsen diarrhea.

Choice B reason:

Giving oral rehydration solution in small, frequent amounts is the recommended treatment for mild dehydration due to infection. This helps replace lost fluids and electrolytes.

Choice C reason:

Promethazine is not indicated for the treatment of dehydration. It is an antihistamine and antiemetic, but it does not address the underlying issue of fluid loss.

Choice D reason:

Offering banana and rice can be part of a bland diet after rehydration, but it does not address the immediate need for replenishing lost fluids and electrolytes. The priority is to start with oral rehydration solution.

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Correct Answer is B

Explanation

Choice A reason:

A blood glucose level of 220 mg/dL is elevated and should be addressed, but it may not be an immediate priority compared to the presence of Kussmaul respirations.

Choice B reason.

Correct. Kussmaul respirations are a sign of diabetic ketoacidosis (DKA), a severe complication of diabetes. This requires immediate attention and intervention.

Choice C reason:

Vomiting is a concerning symptom, but it may not be as immediately life-threatening as Kussmaul respirations.

Choice D reason:

Frequent urination is a common symptom of diabetes, but it may not require immediate intervention unless it is accompanied by other severe symptoms.

A. Sodium 140 mEq/L B. Iron 100 mcg/dL C. Calcium 9 mg/dL D. Hemoglobin 8 g/dL

Correct Answer is D

Explanation

Choice A reason:

A sodium level of 140 mEq/L is within the normal range.

Choice B reason:

An iron level of 100 mcg/dL is within the normal range.

Choice C reason:

A calcium level of 9 mg/dL is within the normal range.

Choice D reason:

Correct. A hemoglobin level of 8 g/dL is lower than the normal range for a preschooler and should be reported to the provider for further evaluation. This may indicate anemia, which requires assessment and potential intervention.

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A nurse is caring for a child who has mild dehydration due to an Escherichia coli infection. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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