A nurse is planning care for a toddler who was admitted for acute diarrhea. Which of the following actions is the nurse's priority?

Initiating IV fluid therapy

Administering a regular diet

Administering IV antibiotics

Initiating oral rehydration therapy

Answer and Explanation

The Correct Answer is D

A. IV fluid therapy may be necessary if the child cannot tolerate oral fluids, but oral rehydration therapy is the first line of treatment for mild to moderate dehydration.
B. Administering a regular diet is important for recovery but is not the priority action when addressing acute dehydration.
C. IV antibiotics are not typically necessary for acute diarrhea unless there is a confirmed bacterial infection.
D. Initiating oral rehydration therapy is the priority to address dehydration and replace lost fluids and electrolytes effectively.

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Correct Answer is A

Explanation

A. Ensuring the child’s arm doesn’t hang down for extended periods can help prevent swelling and discomfort.
B. Submerging a fiberglass cast can damage the material and is not recommended.
C. It is important to encourage the child to move their fingers to maintain circulation and prevent stiffness.
D. Using a pencil to scratch inside the cast can cause injury or damage to the skin and should be avoided.

A. A 24-month-old toddler who experiences occasional incontinence B. A 6-month-old infant who has a spiral fracture to a lower extremity C. A 9-month-old infant who has been exposed to bedbugs and has cellulitis D. A 4-year-old preschooler who has a rivalry with their siblings

Correct Answer is B

Explanation

A. Occasional incontinence in a 24-month-old toddler is developmentally appropriate and does not indicate abuse.
B. A spiral fracture in a 6-month-old infant is concerning for potential abuse and should be reported to authorities for further investigation.
C. Exposure to bedbugs and cellulitis, while requiring medical attention, does not necessarily indicate abuse.
D. Sibling rivalry is a common developmental occurrence and does not indicate abuse.

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A nurse is planning care for a toddler who was admitted for acute diarrhea. Which of the following actions is the nurse's priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing discharge teaching with the guardian of a preschooler who has a fiberglass arm cast. Which of the following statements by the guardian indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is reviewing the medical records of a group of clients. Which of the following findings should the nurse report to local authorities?

Correct Answer is B

Explanation

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