The nurse is caring for a 6-month-old with diarrhea secondary to rotavirus. The child has not vomited, but is mildly dehydrated. Which is likely to be included in the discharge teaching?
Continue breastfeeding per routine.
Administer Imodium as needed.
Administer Kaopectate as needed.
Return to daycare 24 hours after antibiotics have been started.
The Correct Answer is A
Choice A reason: This statement is correct, as breastfeeding is the best source of nutrition and hydration for infants with diarrhea, as it provides antibodies, electrolytes, and fluids. The nurse should encourage the mother to continue breastfeeding per routine, or to offer expressed breast milk if the infant is too weak or fussy to nurse.
Choice B reason: This statement is incorrect, as Imodium is not recommended for infants with diarrhea, as it can cause serious side effects, such as ileus, toxic megacolon, or central nervous system depression. The nurse should advise the parents to avoid giving any anti-diarrheal medications to the infant, unless prescribed by the doctor.
Choice C reason: This statement is incorrect, as Kaopectate is not recommended for infants with diarrhea, as it contains bismuth subsalicylate, which can cause Reye syndrome, a rare but serious condition that affects the liver and brain. The nurse should advise the parents to avoid giving any anti-diarrheal medications to the infant, unless prescribed by the doctor.
Choice D reason: This statement is incorrect, as returning to daycare 24 hours after antibiotics have been started is not appropriate for infants with diarrhea secondary to rotavirus, as antibiotics are not effective against viral infections, and the infant may still be contagious and infect other children. The nurse should instruct the parents to keep the infant at home until the diarrhea has resolved, and to practice good hand hygiene and sanitation to prevent the spread of the infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","D"]
Explanation
Choice A reason: Starting bolus feedings to stretch the stomach is not recommended for a child with Nissen fundoplication as it can cause increased pressure on the surgical site and lead to complications such as bleeding, perforation, or slippage of the wrap.
Choice B reason: Venting gastrostomy tube is a correct answer as it allows for the release of gas and fluids from the stomach and prevents gastric distension and discomfort. A gastrostomy tube is often placed during Nissen fundoplication to facilitate feeding and venting.
Choice C reason: Keeping child flat in bed to increase absorption of food is not advised for a child with Nissen fundoplication as it can increase the risk of aspiration and pneumonia. The child should be positioned at a 30-degree angle or higher after feeding to prevent reflux.
Choice D reason: Observing for abdominal distension, flushing and hypotension which may indicate dumping syndrome is a correct answer as it is a potential complication of Nissen fundoplication. Dumping syndrome occurs when food moves too quickly from the stomach to the small intestine, causing symptoms such as abdominal cramps, nausea, diarrhea, sweating, and dizziness.
Correct Answer is A
Explanation
Choice A reason: This is correct because the semi-Fowler's position, which is a 30 to 45 degree angle of the head of the bed, allows for optimal drainage of the surgical site and reduces the pressure on the incision. It also helps the girl breathe easier and prevents aspiration.
Choice B reason: This is incorrect because the supine position, which is lying flat on the back, can increase the pain and discomfort of the girl after the appendectomy. It can also impair the drainage of the surgical site and increase the risk of infection.
Choice C reason: This is incorrect because the prone position, which is lying on the stomach, can cause more pain and pressure on the incision site. It can also interfere with the drainage of the surgical site and increase the risk of infection.
Choice D reason: This is incorrect because the Trendelenburg position, which is a head-down tilt of the bed, can increase the intra-abdominal pressure and cause more pain and discomfort for the girl. It can also impair the venous return and cause hypotension.
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