A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of the following actions should the nurse take?
Initiate oral rehydration therapy.
Offer chicken broth.
Start a hypertonic IV solution.
Keep the child NPO (nothing by mouth) until the diarrhea subsides.
The Correct Answer is A
Choice A reason: Oral rehydration therapy is the first-line treatment for dehydration due to diarrhea, as it effectively restores fluid and electrolyte balance.
Choice B reason: While chicken broth may provide some salt, it lacks the necessary electrolytes and glucose needed for effective rehydration.
Choice C reason: A hypertonic IV solution is not typically used for dehydration due to diarrhea, as it can exacerbate fluid shifts and dehydration.
Choice D reason: Keeping a child NPO is not recommended as it can lead to further dehydration and delay recovery.
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Related Questions
Correct Answer is B
Explanation
Choice A reason: Administering an antidiuretic would be counterproductive in the treatment of a UTI as it would decrease urine output, potentially allowing bacteria to remain in the urinary tract.
Choice B reason: Encouraging frequent voiding helps to flush out bacteria from the urinary tract, which is beneficial in the management of a UTI.
Choice C reason: While evaluating a child's self-esteem is important, it is not directly related to the care of a child with a UTI.
Choice D reason: Restricting fluids is not advisable for a UTI as it would reduce urine flow and hinder the flushing out of bacteria.
Correct Answer is A
Explanation
Choice A reason: Separation anxiety is common in early childhood and typically resolves as the child develops, usually by around age 2 or 3.However, it can also be present in school-age children, especially if it develops into separation anxiety disorder.
Choice B reason: This is not typically included in teaching about separation anxiety. Detachment might be a response to prolonged separation or hospitalization, but it is not a stage of separation anxiety.
Choice C reason:
While kicking a stranger can be a manifestation of separation anxiety, it’s more constructive to focus on common symptoms such as excessive worry when apart from home or family, or panic and fear at the time of separation
Choice D reason: Separation anxiety that is severe and persistent can lead to challenges in adaptability and functioning. It’s important for caregivers to recognize symptoms and seek help if the anxiety interferes with daily life.
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