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. Being symptom-free for only 24 hours may not be sufficient to ensure full recovery from gastroenteritis.
B) Correct. It is important to wait until all symptoms, including diarrhea, vomiting, and abdominal pain, have completely resolved before returning to work to prevent the spread of infection.
C) Incorrect. Returning to work when only feeling slightly better may risk spreading the infection to others.
D) Incorrect. 48 hours of symptom improvement may not be sufficient to ensure full recovery from gastroenteritis. It is important to wait until all symptoms have completely resolved.
Correct Answer is B
Explanation
A) Incorrect. While viral gastroenteritis can lead to complications, chronic kidney disease is not a typical outcome.
B) Correct. One potential complication of viral gastroenteritis is the development of electrolyte imbalances, such as low potassium levels, due to excessive vomiting and diarrhea.
C) Incorrect. Permanent changes in vision are not associated with viral gastroenteritis.
D) Incorrect. While complications are not extremely common, they can occur, especially in severe cases.
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