A nurse is caring for a 6-month-old infant who has a prescription for clear liquids by mouth after a repair of an intussusception. Which of the following fluids should the nurse select for the infant?
Half-strength infant formula
Half-strength orange juice
Sterile water
Oral electrolyte solution
The Correct Answer is D
Choice A reason: Half-strength infant formula is not a clear liquid and should not be given to an infant with intussusception. Infant formula contains proteins, fats, and carbohydrates that can increase the risk of bowel obstruction, infection, and perforation.
Choice B reason: Half-strength orange juice is not a clear liquid and should not be given to an infant with intussusception. Orange juice contains fructose, citric acid, and potassium that can irritate the bowel, cause osmotic diarrhea, and worsen dehydration.
Choice C reason: Sterile water is a clear liquid, but it is not the best choice for an infant with intussusception. Sterile water does not contain any electrolytes or glucose and can dilute the blood sodium level, leading to hyponatremia and seizures.
Choice D reason: Oral electrolyte solution is the best fluid for an infant with intussusception, as it contains the optimal balance of electrolytes and glucose to prevent dehydration and restore fluid balance. Oral electrolyte solution is recommended by the World Health Organization (WHO) and the American Academy of Pediatrics (AAP) for the management of dehydration in children.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: Hypertrophic pyloric stenosis is a condition in which the pyloric sphincter becomes thickened and obstructs the passage of food from the stomach to the duodenum. It causes projectile vomiting, dehydration, and weight loss, but not a palpable mass or bloody stools.
Choice B reason: Intussusception is a condition in which a segment of the intestine telescopes into another segment, causing obstruction, inflammation, and ischemia. It causes a palpable mass in the upper right quadrant, abdominal pain, and stools mixed with blood and mucus, also known as "currant jelly" stools.
Choice C reason: Inguinal hernia is a condition in which a part of the intestine protrudes through a weak spot in the abdominal wall near the inguinal canal. It causes a bulge in the groin area, especially when the infant cries or strains. It does not cause a mass in the upper right quadrant or bloody stools.
Choice D reason: Tracheoesophageal fistula is a congenital anomaly in which there is an abnormal connection between the trachea and the esophagus. It causes excessive drooling, choking, coughing, and cyanosis during feeding, but not a palpable mass or bloody stools.
Correct Answer is A
Explanation
Choice A reason: Oral rehydration solution (ORS) is the best fluid for a child with acute gastroenteritis, as it contains the optimal balance of electrolytes and glucose to prevent dehydration and restore fluid balance. ORS is recommended by the World Health Organization (WHO) and the American Academy of Pediatrics (AAP) for the management of diarrhea in children.
Choice B reason: Water is not a good fluid for a child with acute gastroenteritis, as it does not contain any electrolytes or glucose and can dilute the blood sodium level, leading to hyponatremia. Water can also increase the osmotic load in the intestines and worsen diarrhea.
Choice C reason: Broth is not a good fluid for a child with acute gastroenteritis, as it is high in sodium and can cause hypernatremia and dehydration. Broth can also irritate the intestinal mucosa and increase diarrhea.
Choice D reason: Diluted apple juice is not a good fluid for a child with acute gastroenteritis, as it is high in fructose and can cause osmotic diarrhea. Apple juice can also lower the blood pH and cause metabolic acidosis.
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