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 ["C","D"]
Explanation
A. Frequent, thorough handwashing is essential to prevent infection, especially for immunocompromised children.
B. Having the child sleep in a separate bed and room may help minimize exposure to pathogens from family members.
C. Encouraging frequent close contact with visitors increases the risk of infections and should be avoided.
D. Fresh flowers and plants can harbor bacteria and should be avoided in the environment of an immunocompromised child.
E. Protecting the central venous access device is vital to prevent infections; this practice should be emphasized.
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.
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