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.
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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Related Questions
Correct Answer is D
Explanation
A: Introducing fruit juice at 4 months old is not recommended because infants' digestive systems are not yet ready for such foods, and it can increase the risk of tooth decay and obesity.
B: Introducing eggs at 6 months could be appropriate; however, it is not the best choice as it does not reflect the gradual introduction of new foods one at a time, which is essential to monitor for any allergic reactions or food intolerances.
C: Offering cereal with a percent of milk is not advisable for a 4-month-old infant as cow's milk should not be introduced until the child is at least 12 months old due to the risk of iron deficiency and potential allergies.
D: Offering a new food every 7 days is the correct approach as it allows parents to introduce new foods gradually and monitor the infant for any adverse reactions or allergies, which aligns with the guidelines provided by health authorities.
Correct Answer is C
Explanation
Choice A reason:
While it's important to reassure the child, stating that it's not their fault is correct, the statement in choice C is a stronger affirmation of the inappropriateness of the situation.
Choice B reason:
This statement may inadvertently place blame on the child, which is not appropriate in this situation.
Choice C reason:
This statement communicates empathy and acknowledges that the child should not have experienced maltreatment.
Choice D reason:
While it's important to maintain the child's trust, the priority is to ensure the child's safety and report any suspected maltreatment to the appropriate authorities.
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