Which nursing intervention should a nurse expect to perform on a 7-year-old child diagnosed with mild dehydration secondary to diarrhea?
Administer a bolus of intravenous (IV) fluids as ordered.
Offer clear fluids, popsicles, and gelatin as tolerated by the child.
Offer oral rehydration solution (ORS) in small, frequent amounts.
Keep the child on a strict BRAT (bananas, rice, applesauce, toast) diet.
The Correct Answer is C
Choice A rationale:
Administering a bolus of intravenous (IV) fluids might be necessary for severe dehydration, but in mild dehydration, oral rehydration is preferred as it avoids potential complications associated with IV fluids.
Choice B rationale:
Offering clear fluids, popsicles, and gelatin is appropriate, but this choice does not specifically address rehydration, which is the primary concern in mild dehydration.
Choice C rationale:
Offering oral rehydration solution (ORS) in small, frequent amounts is the most appropriate intervention for mild dehydration secondary to diarrhea. ORS contains the right balance of electrolytes and fluids to rehydrate without overwhelming the gastrointestinal tract.
Choice D rationale:
Keeping the child on a strict BRAT diet (bananas, rice, applesauce, toast) is an outdated approach. While BRAT foods can be tolerated during mild illness, they lack the necessary electrolytes and fluids to effectively rehydrate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Waiting to discuss the surgery until the child asks specific questions might lead to increased anxiety as the child may be apprehensive about the surgery but unable to express their concerns.
Choice B rationale:
Setting aside an hour a day to talk about the child's feelings concerning the surgery can be overwhelming for a 5-year-old, potentially increasing anxiety and making the procedure seem more daunting.
Choice C rationale:
Reading the child a story about children of similar age who go to the hospital for surgery provides a developmentally appropriate approach. It helps the child understand the process through relatable characters, reducing fear and uncertainty about the upcoming experience.
Choice D rationale:
Having the child visit a family whose preschool child has just been discharged from the hospital might expose the child to unfamiliar situations, possibly leading to more confusion and anxiety.
Correct Answer is D
Explanation
Choice A rationale:
Maintaining supplemental oxygen is not directly relevant to the management of hemarthrosis in a patient with hemophilia. Hemarthrosis is bleeding into a joint due to impaired clotting factors in hemophilia, and oxygen supplementation is not a primary intervention.
Choice B rationale:
Elevating the head of the bed 45 degrees is not the most appropriate action for hemarthrosis. Elevation would not address the joint bleeding, and it could potentially cause discomfort to the patient.
Choice C rationale:
Providing passive range-of-motion exercises to all extremities is contraindicated in this scenario. Active or passive range-of-motion exercises could exacerbate bleeding and further damage the affected joint in a patient with hemarthrosis.
Choice D rationale:
Immobilizing the affected joint is the correct nursing action. Immobilization helps to prevent further bleeding and joint damage. By limiting movement, the risk of exacerbating the bleeding is minimized, promoting healing and reducing pain.
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