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. Many bacteria that cause gastroenteritis release toxins that directly damage the gastrointestinal lining.
B) Incorrect. While invasion of cells can occur with certain bacteria, it is not the primary mechanism of action for all bacterial gastroenteritis.
C) Incorrect. While inflammation is a common response to bacterial infection, it may not be the primary mechanism of all cases of bacterial gastroenteritis.
D) Incorrect. Disruption of normal gut flora is more commonly associated with certain types of antibiotics rather than the direct mechanism of bacteria causing gastroenteritis.
Correct Answer is A
Explanation
A) Correct. Severe bacterial gastroenteritis can lead to significant fluid and electrolyte imbalances, including hypokalemia, which can be life-threatening.
B) Incorrect. Hypertension is not a typical complication of gastroenteritis.
C) Incorrect. Hypernatremia, or high sodium levels, is not a common complication of gastroenteritis.
D) Incorrect. Hyperglycemia, or high blood sugar levels, is not a typical complication of gastroenteritis.
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