A nurse is assisting in the care of a 6-year-old child.

Exhibits

Complete the following sentence by using the lists of options.

The nurse should identify that the child is at risk for

dropdown

due to

dropdown

A. Offering one banana and 1/2 cup of rice with each meal is incorrect. Although bananas and rice are part of the BRAT diet, which is sometimes recommended for diarrhea, the primary concern in mild dehydration is restoring fluids first. Once hydration is managed, a regular diet can be resumed.

B. Giving 2 tsp of oral rehydration solution every 5 to 10 minutes is correct. Small, frequent amounts of oral rehydration solution (ORS) help replace lost fluids without overwhelming the stomach, reducing the risk of further vomiting or diarrhea. ORS is the preferred treatment for mild dehydration.

C. Encouraging intake of fruit juices is incorrect. Fruit juices, especially apple or pear juice, contain high amounts of sugar, which can worsen diarrhea by drawing water into the intestines and increasing stool output. Instead, ORS should be used to rehydrate the child.

D. Administering promethazine as needed is incorrect. Promethazine is an antiemetic that is not typically recommended for children due to the risk of sedation and potential side effects. Additionally, vomiting is not the primary symptom of E. coli infections, so rehydration should be the main focus.

A. Flushing the gastrostomy tube with 10 mL of formula between each medication is incorrect. The nurse should flush the tube with sterile water, not formula, to prevent interactions between the medication and formula, which could cause clogging or reduced medication effectiveness.

B. Diluting viscous medications with water is correct. Thick or viscous medications should be diluted with water to facilitate easier administration through the gastrostomy tube and prevent clogging. This ensures proper delivery of the medication to the gastrointestinal tract.

C. Adding the medications to the bag of formula is incorrect. Medications should never be mixed directly into enteral feeding formula, as they may cause interactions, alter medication absorption, or clog the feeding tube. Each medication should be administered separately.

D. Combining the medications together in one syringe is incorrect. Medications should be administered separately to avoid potential drug interactions, altered medication absorption, and tube blockage. Each medication should be given individually, followed by flushing with water.