A nurse is caring for a child who has watery diarrhea for the past 3 days. Which of the following is an action for the nurse to take?
Offer chicken broth
Assit with starting an infusion of a hypertonic solution
Assist with initiating oral rehydration therapy
Keep NPO until diarrhea stops
The Correct Answer is C
A. Offer chicken broth: Chicken broth is high in sodium and lacks appropriate electrolytes for rehydration.
B. Assist with starting an infusion of a hypertonic solution: Hypertonic solutions are not appropriate for rehydration and can worsen dehydration.
C. Assist with initiating oral rehydration therapy: Oral rehydration therapy is the recommended first-line treatment for dehydration caused by diarrhea.
D. Keep NPO until diarrhea stops: Keeping the child NPO can exacerbate dehydration and is not evidence-based management for diarrhea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Ribbonlike, foul-smelling stools. This is a classic symptom of Hirschsprung disease due to chronic constipation and obstruction from the absence of ganglion cells in the rectum.
B. Projectile vomiting. Projectile vomiting is associated with pyloric stenosis, not Hirschsprung disease.
C. Chronic hunger. This is also indicative of pyloric stenosis rather than Hirschsprung disease.
D. Ridged abdomen. While abdominal distension may occur, a ridged abdomen is not specific to Hirschsprung disease.
Correct Answer is A
Explanation
A. I will not provide tub baths for at least 1 week after surgery: This helps prevent infection and allows the surgical site to heal.
B. I will perform tub baths after 3 days of surgery: Tub baths too soon after surgery increase the risk of infection.
C. This surgery will mutilate my body: This indicates poor understanding and requires further clarification and emotional support.
D. I will engage in physical activities to recover early after the surgery: Physical activities may be restricted postoperatively to allow healing.
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