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 D
Explanation
A. Nitroglycerin: Nitroglycerin is a vasodilator used primarily for angina and heart conditions, not enuresis.
B. Atenolol: Atenolol is a beta-blocker for hypertension or arrhythmias, not for enuresis.
C. Diltiazem: Diltiazem is a calcium channel blocker for cardiovascular conditions.
D. Desmopressin (DDAVP): This synthetic antidiuretic hormone reduces nighttime urine production, effectively treating enuresis.
Correct Answer is D
Explanation
A. Feed the infant half-strength formula for the first 48 hr: Feeding guidelines do not typically require diluted formula unless directed by the surgeon.
B. Remove elbow restraints while the infant is sleeping: Elbow restraints should remain in place to prevent the infant from touching the surgical site, even during sleep.
C. Administer pain medication PRN for the first 48 hr: Pain medication should be administered on a regular schedule initially to control pain effectively.
D. Keep the infant in a side-lying position: This position helps protect the surgical site and minimizes the risk of aspiration.
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