A nurse is caring for a toddler who has infectious gastroenteritis. Which of the following actions should the nurse take?

Offer the toddler flavored gelatin.

Initiate oral rehydration therapy for the toddler.

Include chicken broth in the toddler's diet.

Feed the toddler the BRAT diet.

Answer and Explanation

The Correct Answer is B

A. Offering flavored gelatin can provide some hydration, but it does not provide sufficient electrolytes necessary for rehydration in gastroenteritis.

B. Initiating oral rehydration therapy for the toddler is essential in treating dehydration caused by infectious gastroenteritis. Oral rehydration solutions contain the right balance of electrolytes and fluids to replenish losses.

C. While chicken broth may provide some fluid and salt, it is not as effective as a specific oral rehydration solution tailored for children with gastroenteritis.

D. The BRAT diet (bananas, rice, applesauce, and toast) is no longer recommended as the primary diet for children with gastroenteritis, as it does not provide adequate nutrition or electrolytes.

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Correct Answer is A

Explanation

A. Making a referral for social services is appropriate as they can assist the client with discharge planning, home care services, and resources for palliative care to support the client's wishes.

B. While it is important to explain the risks of leaving against medical advice, the priority is to support the client’s desire to go home, rather than focusing on the potential consequences at this moment.

C. Contacting the facility chaplain could be beneficial for emotional support, but it does not address the immediate need for facilitating the client’s wish to go home.

D. Encouraging the client to continue with inpatient care contradicts their expressed desire to be with family, which is a crucial aspect of their emotional well-being in this situation.

A. The client is sitting with their head in their hands and appears to be crying B. The client pacing around the chair in which their partner is sitting C. The client is calmly telling their partner that the "staff here is so controlling." D. The client is taking numerous, deep breaths

Correct Answer is B

Explanation

A. Sitting with their head in their hands and appearing to cry indicates emotional distress rather than aggression or potential violence.

B. Pacing is often a sign of agitation or anxiety and can be indicative of a potential escalation to violence, especially in individuals with a history of aggressive behavior.

C. While expressing discontent with staff may show frustration, it does not directly indicate imminent violence.

D. Taking numerous, deep breaths may suggest the client is attempting to calm themselves and is not a reliable indicator of potential aggression.

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A nurse is caring for a toddler who has infectious gastroenteritis. Which of the following actions should the nurse take?

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