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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Poor skin turgor typically indicates dehydration, not fluid overload.

B. Shortness of breath can be a sign of fluid overload, particularly in children with renal failure, as excess fluid can accumulate and lead to pulmonary edema.

C. Redness at the tube insertion site may indicate infection but does not specifically relate to fluid overload.

D. Fever is a sign of infection or inflammation and does not directly indicate fluid overload.

A. Written information about the medication B. The adverse effects of the medication C. Stopping the medication when the child feels better D. The reason why the child is taking the medication E. Using a kitchen spoon to administer the medication

Correct Answer is ["A","B","D"]

Explanation

A. Providing written information about the medication is important for ensuring the parents understand the treatment plan and can reference it later.

B. Discussing the potential adverse effects of the medication prepares the parents for what to monitor in their child and when to seek help.

C. Stopping the medication when the child feels better is incorrect, as it is essential to complete the full course of antibiotics to prevent resistance and recurrence of infection.

D. Explaining the reason why the child is taking the medication helps parents understand its importance and can enhance adherence to the treatment plan.

E. Advising against using a kitchen spoon for administering the medication is important, as it can lead to incorrect dosing; proper dosing devices should be used instead.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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