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. Dehydration is a significant concern in elderly individuals with gastroenteritis due to their reduced reserve and increased vulnerability to fluid and electrolyte imbalances.
B) Incorrect. Hyperactivity is not a typical complication of gastroenteritis, especially in the elderly population.
C) Incorrect. Hypothermia is not a typical complication of gastroenteritis, especially in the absence of other underlying conditions.
D) Incorrect. Hypertension is not a typical complication of gastroenteritis.
Correct Answer is B
Explanation
A) Incorrect. Spicy and greasy foods can exacerbate gastrointestinal symptoms and should be avoided during the recovery phase of gastroenteritis.
B) Correct. Dairy products can be hard to digest for some individuals with gastroenteritis, so it's recommended to avoid them until symptoms completely resolve.
C) Incorrect. While fiber is important for a balanced diet, increasing fiber intake may exacerbate symptoms in the acute phase of gastroenteritis.
D) Incorrect. Large amounts of fatty foods can be difficult to digest and may worsen gastrointestinal symptoms, so they should be avoided during recovery.
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