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. While antibodies play a role in the immune response, they are not the primary mediators of inflammation in gastroenteritis.
B) Correct. Inflammation in gastroenteritis is a protective response against invading pathogens and helps to clear the infection.
C) Incorrect. Inflammation in gastroenteritis can occur in both the stomach and the small intestine, not just the large intestine.
D) Incorrect. Inflammatory cells, such as white blood cells, play a significant role in the inflammatory response in gastroenteritis. They are responsible for targeting and destroying pathogens.
Correct Answer is C
Explanation
A) Incorrect. Elevating the head of the bed is not primarily related to improving blood circulation in the legs.
B) Incorrect. While good digestion is important, elevating the head of the bed primarily helps prevent the reflux of stomach acid into the esophagus.
C) Correct. Elevating the head of the bed can help prevent stomach acid from flowing back into the esophagus, reducing the likelihood of acid reflux and heartburn.
D) Incorrect. Elevating the head of the bed is not typically associated with alleviating joint pain and stiffness.
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