A client with gastroenteritis reports severe abdominal pain and signs of dehydration. What action should the nurse take first?
Administer an over-the-counter antidiarrheal medication.
Provide oral rehydration solution (ORS) or IV fluids as indicated.
Suggest increasing intake of high-fiber foods to promote bowel movements.
Advise the client to fast for the next 24 hours to rest the digestive system.
The Correct Answer is B
A) Incorrect. Antidiarrheal medications can be considered but are not the first-line treatment for severe cases of gastroenteritis.
B) Correct. Rehydration is the primary intervention for clients with severe abdominal pain and signs of dehydration due to gastroenteritis.
C) Incorrect. Increasing fiber intake is not recommended in the acute phase of gastroenteritis, as it may exacerbate symptoms.
D) Incorrect. Fasting is not recommended in gastroenteritis; rehydration and appropriate nutrition are crucial.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. Severe bacterial gastroenteritis may require treatment with antibiotics to target the specific bacterial infection.
B) Incorrect. While fluid replacement is important, administering the appropriate antibiotic is the priority for severe bacterial gastroenteritis.
C) Incorrect. In severe cases, a clear liquid diet may be recommended initially to allow the digestive system to rest and recover.
D) Incorrect. While rest is important, administering the appropriate antibiotic is crucial in cases of severe bacterial gastroenteritis.
Correct Answer is B
Explanation
A) Incorrect. Consuming large meals can lead to increased pressure on the lower esophageal sphincter, potentially exacerbating symptoms of GERD.
B) Correct. Avoiding lying down for at least 2 hours after meals can help prevent acid reflux and heartburn by allowing the stomach to properly digest food.
C) Incorrect. Spicy foods can trigger heartburn in some individuals, so they should be avoided or consumed in moderation in those with GERD.
D) Incorrect. Engaging in vigorous exercise immediately after meals may exacerbate symptoms of GERD. It is advisable to wait until digestion is underway before participating in strenuous physical activity.
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