A nurse is caring for a child with gastroenteritis. The child's mother says, "I don't understand why my child can't have any medicine for the diarrhea." Which response by the nurse is appropriate?
"Diarrhea is a natural defense mechanism to eliminate the infectious agent.”
"Medicine for diarrhea can worsen the dehydration and electrolyte imbalance.”
"Giving medicine for diarrhea can cause adverse effects like toxic megacolon.”
"Diarrhea is a common symptom of gastroenteritis, and it will resolve on its own.”
The Correct Answer is B
Choice A rationale:
Diarrhea is not primarily a defense mechanism to eliminate infectious agents. It is usually a response to infections and can lead to significant fluid and electrolyte losses, which can be harmful.
Choice B rationale:
Medicines for diarrhea can interfere with the body's natural process of eliminating the infectious agent. Moreover, some anti-diarrheal medications can slow down the bowel motility, which may worsen dehydration and electrolyte imbalances.
Choice C rationale:
Toxic megacolon is a severe complication of conditions like inflammatory bowel disease, not a common adverse effect of diarrhea medicines. This response may confuse the mother and is not directly related to the child's gastroenteritis.
Choice D rationale:
While it is true that diarrhea is a common symptom of gastroenteritis and usually resolves on its own, it is important to address the potential risks of dehydration and electrolyte imbalances that can occur, especially in children.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Chest X-ray is not appropriate for identifying the causative agent of gastroenteritis. It primarily helps visualize lung and chest conditions.
Choice B rationale:
Blood culture is used to detect bacterial or fungal infections in the bloodstream, not specifically for identifying the causative agent of gastroenteritis.
Choice C rationale:
Stool analysis is the most suitable diagnostic test for identifying the specific causative agent of gastroenteritis. It can detect pathogens, such as bacteria, viruses, and parasites, in the stool sample.
Choice D rationale:
Urinalysis is not the most appropriate test for identifying the causative agent of gastroenteritis. It is used to assess kidney function and detect urinary tract infections.
Vulvovaginitis.
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Correct Answer is ["A","B","E"]
Explanation
Choice A rationale:
Vital signs are crucial to assess the child's overall condition and the severity of gastroenteritis. Elevated heart rate and decreased blood pressure may indicate dehydration.
Choice B rationale:
Travel history is important to identify potential sources of infection or exposure, which can help determine appropriate treatment and infection control measures.
Choice C rationale:
Urinary output can be monitored to assess the child's hydration status. Decreased urine output may indicate dehydration.
Choice D rationale:
Blood glucose level, while relevant in some medical conditions, is not a primary consideration in the assessment of gastroenteritis.
Choice E rationale:
Skin turgor reflects the degree of dehydration. Poor skin turgor may indicate significant fluid loss.
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