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Keeping the child on a strict BRAT diet (bananas, rice, applesauce, toast) is an outdated approach.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 B
Explanation
Choice A rationale:
Hypercalcemia refers to high calcium levels in the blood, and it is not a common complication associated with furosemide use. Furosemide primarily affects electrolytes like potassium.
Choice B rationale:
Furosemide is a loop diuretic that can lead to excessive potassium loss through urine, potentially causing hypokalemia (low potassium levels). Monitoring potassium is crucial to prevent complications like muscle weakness and cardiac arrhythmias.
Choice C rationale:
Hypocalcemia, which is low calcium levels, is not a typical complication of furosemide use. Furosemide's primary impact is on sodium and potassium balance.
Choice D rationale:
Hyperkalemia is the opposite of what furosemide commonly causes. Furosemide-induced diuresis often leads to hypokalemia, not hyperkalemia.
Correct Answer is A
Explanation
An hour before meals and at bedtime.
Choice A rationale:
Scheduling chest physiotherapy an hour before meals and at bedtime is optimal. This timing helps prevent aspiration during meals and aids in clearing secretions before sleep. It complements the patient's meal schedule and sleep routine.
Choice B rationale:
Every six hours around the clock could disrupt the patient's sleep and meal times. Chest physiotherapy might not align well with the patient's daily activities, potentially affecting treatment compliance and effectiveness.
Choice C rationale:
Performing chest physiotherapy upon awakening and after meals might increase the risk of aspiration during meals. Clearing airways before meals is safer, and performing it right after meals could cause discomfort.
Choice D rationale:
Evenly spaced physiotherapy when awake lacks synchronization with meal and sleep times. This approach might not optimize treatment effects and patient convenience.
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