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 B
Explanation
A) Incorrect. Avoiding hand hygiene is not an effective way to prevent gastroenteritis; in fact, it increases the risk of infection.
B) Correct. Proper hand hygiene, including washing hands frequently, especially before handling food, is a key measure in preventing the spread of gastroenteritis.
C) Incorrect. Consuming undercooked meats and unpasteurized dairy products can actually increase the risk of gastroenteritis due to potential bacterial contamination.
D) Incorrect. Sharing personal items can increase the risk of spreading gastroenteritis, as the virus or bacteria can be easily transmitted through shared items.
Correct Answer is A
Explanation
A) Correct. Severe viral gastroenteritis can lead to malnutrition due to the inability to absorb nutrients properly during the acute phase.
B) Incorrect. Hypernatremia, or high sodium levels, is not a common complication of gastroenteritis.
C) Incorrect. Hypotension, or low blood pressure, may occur in severe cases, but it is not a typical complication during recovery.
D) Incorrect. Urinary retention is not a typical complication of gastroenteritis.
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