When managing dehydration in children who have acute diarrhea, what is the preferred method of rehydration?
Administering antidiarrheal medications
Starting the child on the BRAT (bananas, rice, applesauce, and toast) diet as soon as possible
Keeping the child NPO (nothing by mouth) until the diarrhea resolves
Oral rehydration
The Correct Answer is D
Rationale:
A. Antidiarrheal medications are generally not recommended for young children, as they can cause serious side effects and do not treat the underlying cause.
B. The BRAT diet is outdated and lacks essential nutrients; current guidelines support a normal, age-appropriate diet once rehydration is initiated.
C. Keeping a child NPO can worsen dehydration and delay recovery; early oral intake is encouraged.
D. Oral rehydration is the preferred and evidence-based method for treating mild to moderate dehydration due to acute diarrhea in children. It is safe, effective, and well-tolerated.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Rationale:
A. While reading a story can provide comfort and education, it is less effective in addressing hands-on fears directly.
B. Watching a video may help with general understanding, but does not offer a way to express feelings or practice.
C. Observing a nurse draw up insulin may not be appropriate or engaging for a young child and could increase anxiety.
D. Playing with medical equipment on a doll is a form of medical play that helps children express their feelings, gain control, and reduce fear related to procedures like injections.
Correct Answer is ["A","B","C"]
Explanation
Rationale:
A. Infants have a higher proportion of extracellular fluid, which leads to more rapid fluid loss compared to adults.
B. Excessive intake of dilute formula can cause water intoxication, leading to electrolyte imbalances.
C. Immature renal function in infants under 2 years affects their ability to concentrate urine and regulate fluid/electrolyte balance.
D. Infants have a higher (not lower) basal metabolic rate than adults, which increases fluid needs and losses.
E. Infants actually have a greater proportion of water in their bodies compared to adults, not less.
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