A nurse is caring for a year old child who has had watery diarrhea for the past 3 days. Which of the following is the most appropriate action for the nurse to take?
Offer the child guitar chicken broth
Initiate oral rehydration therapy
Start hypertonic solution
Keep NPO until the diarrhea subsides
The Correct Answer is B
A. While clear chicken broth can provide some hydration, it does not contain the necessary electrolytes to replace losses effectively.
B. Initiating oral rehydration therapy is critical for managing dehydration due to diarrhea and is the best approach for a child in this situation.
C. Starting a hypertonic solution is inappropriate and could lead to further dehydration or electrolyte imbalances.
D. Keeping the child NPO is not necessary; it is more important to maintain hydration and possibly offer oral rehydration solutions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Administering iron supplements at mealtimes can decrease absorption, making it less effective.
B. Giving ferrous sulfate with milk can inhibit the absorption of iron due to the calcium content.
C. Administering iron at bedtime is not recommended because it can cause gastrointestinal upset and may interfere with sleep.
D. Giving ferrous sulfate with orange juice enhances the absorption of iron due to the vitamin C content, which is beneficial for children with iron deficiency anemia.
Correct Answer is D
Explanation
A. Encouraging handwashing is important to prevent spreading infection and shows understanding of hygiene practices.
B. Advising the child not to touch their face is important to prevent secondary infections and spread of the rash.
C. Providing a separate towel helps prevent the spread of infection, demonstrating good understanding of precautions.
D. Filling a prescription for antiviral ointment is inappropriate in this case; the honey-crusted plaques suggest impetigo, which is typically treated with topical or oral antibiotics, not antiviral ointment.
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