Which assessment finding indicates severe burn injury in a child?

Choice A rationale

Avoiding fruit juice is a helpful recommendation because fruit juices are often high in simple sugars, which can draw water into the bowel and potentially worsen diarrhea. This statement indicates a good understanding of dietary management for diarrhea.

Choice B rationale

Offering small amounts of oral rehydration solution frequently is a crucial aspect of managing acute diarrhea in toddlers to prevent dehydration by replacing lost fluids and electrolytes. This demonstrates appropriate knowledge of fluid management.

Choice C rationale

Giving over-the-counter antidiarrheal medicine to stop the stools is generally not recommended for toddlers with acute diarrhea without specific guidance from a healthcare provider. These medications can sometimes mask underlying issues or have adverse effects in young children. This statement indicates a need for further explanation regarding safe medication use.

Choice D rationale

Continuing to offer the child their usual foods as tolerated is generally advised to maintain nutritional intake during diarrhea. Bland foods like toast, rice, bananas, and applesauce are often well-tolerated. This shows an understanding of appropriate dietary progression.

Choice A rationale

Projectile vomiting and confusion are highly concerning symptoms in a child with suspected Reye syndrome. Projectile vomiting indicates increased intracranial pressure, and confusion reflects encephalopathy, both of which are hallmark signs of the severe neurological involvement in Reye syndrome.

Choice B rationale

Fever and cough are common symptoms of many childhood illnesses, particularly respiratory infections. While Reye syndrome can sometimes follow a viral illness, fever and cough alone are not specific indicators of this condition.

Choice C rationale

Mild headache is a relatively non-specific symptom and can be associated with various conditions. While headache may occur in the early stages of some illnesses, it is not the most concerning symptom suggestive of Reye syndrome.

Choice D rationale

Muscle aches can be associated with viral infections, which sometimes precede Reye syndrome. However, muscle aches alone are not as concerning as the neurological symptoms of confusion and increased intracranial pressure indicated by projectile vomiting.