A nurse is caring for a child with suspected gastroenteritis. Which statement by the child's parent indicates understanding of the treatment plan?
"I will give my child loperamide to stop the diarrhea.”
"I should encourage my child to drink plenty of fluids.”
"I will avoid giving my child any food until the vomiting stops.”
"I should give my child aspirin for the fever and abdominal pain.”
The Correct Answer is B
Choice A rationale:
Giving loperamide to stop diarrhea is not appropriate for a child with suspected gastroenteritis. Loperamide can slow down bowel movements and may lead to complications, especially in pediatric patients.
Choice B rationale:
Encouraging the child to drink plenty of fluids is crucial to prevent dehydration, a common concern in gastroenteritis. Fluid intake helps replace lost fluids and electrolytes due to vomiting and diarrhea.
Choice C rationale:
Avoiding food until vomiting stops can deprive the child of essential nutrients. Small, frequent, bland meals are recommended during recovery from gastroenteritis.
Choice D rationale:
Giving aspirin to a child with fever is contraindicated due to the risk of Reye's syndrome, a potentially fatal condition. Acetaminophen is the preferred antipyretic.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Anaerobic bacteria are not responsible for the described symptoms. They typically cause foul-smelling discharge with a different consistency.
Choice B rationale:
Fungi, such as Candida species, commonly cause vaginal candidiasis, which presents with thick, white, cottage cheese-like discharge. This matches the client's symptoms.
Choice C rationale:
Protozoa, like Trichomonas vaginalis, usually lead to a frothy, greenish-yellow discharge with a foul odor, which doesn't align with the client's presentation.
Choice D rationale:
Low estrogen levels would not directly cause this type of discharge. They might lead to vaginal dryness and thinning of vaginal walls, but not the specific discharge described.
Choice E rationale:
Human papillomavirus (HPV) doesn't typically cause the described discharge. It's associated with genital warts and cervical changes but not with this type of discharge.
Correct Answer is D
Explanation
Choice A rationale:
Encouraging the use of vaginal douches is not recommended for vulvovaginitis caused by Candida albicans. Douching can disrupt the vaginal pH balance and lead to further irritation or infection.
Choice B rationale:
Applying a topical corticosteroid cream is not a suitable intervention for Candida albicans-related vulvovaginitis. Corticosteroids can suppress the immune response and potentially worsen fungal infections.
Choice C rationale:
Using hormonal therapy is not indicated for treating Candida albicans vulvovaginitis. This condition is primarily fungal in nature and requires antifungal treatment, not hormonal therapy.
Choice D rationale:
Promoting good hygiene practices is essential in managing Candida albicans vulvovaginitis. Proper hygiene helps maintain a healthy vaginal environment and reduces the risk of fungal overgrowth. Emphasizing the importance of gentle cleansing and avoiding irritants is crucial.
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