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","C","D"]
Explanation
Choice A rationale:
Administering oral or intravaginal antibiotics is not appropriate for vulvovaginal candidiasis (CV) since it is caused by a fungal infection, not bacterial. Antifungal medications are the primary treatment.
Choice B rationale:
Educating the client on the causes, symptoms, and prevention of CV is essential to ensure the client understands the infection, its symptoms, and how to prevent recurrence.
Choice C rationale:
Providing comfort measures to relieve irritation and discomfort, such as soothing creams and warm sitz baths, helps alleviate the discomfort associated with CV.
Choice D rationale:
Encouraging the client to avoid sexual intercourse during treatment is advised to prevent further irritation and disruption of the vaginal flora.
Choice E rationale:
Advising the client to limit sexual partners is not a specific intervention for CV.
Correct Answer is D
Explanation
Choice A rationale:
Initiation of antibiotic therapy is not the primary intervention for severe dehydration in gastroenteritis. Fluid replacement is crucial to correct the fluid and electrolyte imbalances.
Choice B rationale:
Administration of antidiarrheal agents is contraindicated in cases of severe dehydration. These agents can delay the elimination of the causative agent and further worsen fluid loss.
Choice C rationale:
Oral rehydration therapy (ORT) is effective for mild dehydration but may not be sufficient in cases of severe dehydration where oral intake is limited.
Choice D rationale:
Intravenous fluid therapy (IVF) is the appropriate intervention for severe dehydration. IV fluids rapidly restore fluid balance and correct electrolyte imbalances, ensuring timely rehydration and preventing complications.
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