A client with gastroenteritis is experiencing severe dehydration. The nurse should anticipate the need for which intervention?
Initiation of antibiotic therapy.
Administration of antidiarrheal agents.
Oral rehydration therapy (ORT)
Intravenous fluid therapy (IVF)
The Correct Answer is D
Choice A rationale:
Initiation of antibiotic therapy is not the primary intervention for severe dehydration in gastroenteritis. Fluid replacement is crucial to correct the fluid and electrolyte imbalances.
Choice B rationale:
Administration of antidiarrheal agents is contraindicated in cases of severe dehydration. These agents can delay the elimination of the causative agent and further worsen fluid loss.
Choice C rationale:
Oral rehydration therapy (ORT) is effective for mild dehydration but may not be sufficient in cases of severe dehydration where oral intake is limited.
Choice D rationale:
Intravenous fluid therapy (IVF) is the appropriate intervention for severe dehydration. IV fluids rapidly restore fluid balance and correct electrolyte imbalances, ensuring timely rehydration and preventing complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Vaginal itching is a common symptom of vulvovaginitis but not a potential adverse effect of antibiotics. It is more indicative of the condition itself rather than a medication side effect.
Choice B rationale:
A fishy odor is characteristic of bacterial vaginosis (BV), not a common adverse effect of antibiotics. BV is caused by an imbalance in vaginal flora and is not directly related to antibiotic therapy.
Choice C rationale:
Increased vaginal discharge is a potential adverse effect of antibiotics. Antibiotics can disrupt the normal vaginal flora, leading to an overgrowth of yeast or other pathogens, which may result in increased discharge.
Choice D rationale:
Photosensitivity is unrelated to antibiotics or vulvovaginitis. It refers to an increased sensitivity to sunlight or artificial light and is not a relevant consideration in this context.
Correct Answer is D
Explanation
Choice A rationale:
Assessing blood glucose levels is not directly related to ondansetron administration for vomiting. Ondansetron does not typically affect blood glucose levels.
Choice B rationale:
Obtaining a stool sample for culture and microscopy is important for diagnosing the cause of gastroenteritis, but it is not a necessary step before administering ondansetron.
Choice C rationale:
Monitoring urinary output is not directly associated with the administration of ondansetron. It's important for assessing hydration status, but it's not the immediate concern when administering this antiemetic medication.
Choice D rationale:
Checking vital signs is essential before giving any medication to ensure the client's overall stability and to detect any potential contraindications or adverse reactions.
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