The nurse is monitoring for signs and symptoms of dehydration in a 1 year old child who has been hospitalized for diarrhea and prepares to take the child's temperature. Which method of temperature measurement should be avoided?

Orally

Tympanic

Rectal

Axillary

Answer and Explanation

The Correct Answer is C

A. Orally: Oral temperature measurement is generally not suitable for a 1-year-old because they are often not able to cooperate, but it is not contraindicated for the child.
B. Tympanic: Tympanic (ear) temperature measurement is acceptable in children over 3 months old and is non-invasive.
C. Rectal: Rectal temperature should be avoided in infants and toddlers with diarrhea due to the risk of rectal trauma and infection. Diarrhea may also cause irritation to the rectal area, increasing the risk of injury.
D. Axillary: Axillary (underarm) temperature measurement is safe and commonly used in children, particularly for non-invasive monitoring.

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Correct Answer is C

Explanation

A. "Give your infant an oral rehydrating solution.": Rehydration is important but does not address the underlying issue of possible pyloric stenosis.
B. "Burp your child more frequently during feedings.": Burping does not resolve projectile vomiting, which may indicate a more serious condition.
C. "Bring your infant into the clinic today to be seen.": Projectile vomiting and post-feeding hunger are signs of pyloric stenosis, which requires prompt evaluation.
D. "You might want to try switching to a different formula.": Changing formula does not address the likely structural cause of vomiting.

A. An oral rehydrating solution, such as Pedialyte B. Small amounts of clear fluids such as gelatin C. Chicken soup because its high in sodium D. soft foods with rice, bananas, toast, and applesauce

Correct Answer is A

Explanation

A. An oral rehydrating solution, such as Pedialyte: Oral rehydration solutions are the best choice for managing dehydration and electrolyte imbalance during diarrhea.
B. Small amounts of clear fluids such as gelatin: Clear fluids alone, like gelatin, lack the necessary electrolytes to treat diarrhea-induced dehydration.
C. Chicken soup because it's high in sodium: Chicken soup may be too high in sodium and can lead to an electrolyte imbalance.
D. Soft foods with rice, bananas, toast, and applesauce: While suitable in recovery, these foods do not replace the immediate need for rehydration and electrolyte balance.

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The nurse is monitoring for signs and symptoms of dehydration in a 1 year old child who has been hospitalized for diarrhea and prepares to take the child's temperature. Which method of temperature measurement should be avoided?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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