A nurse is caring for a child who has mild dehydration due to an Escherichia coli infection. Which of the following actions should the nurse take?
Encourage intake of fruit juices.
Give 2 tsp of oral rehydration solution every 5 to 10 min.
Administer promethazine as needed.
Offer one banana and 1/2 cup of rice with each meal.
The Correct Answer is B
Choice A reason:
Encouraging fruit juices is not the best approach for rehydration in a child with mild dehydration. Fruit juices can be high in sugar and may worsen diarrhea.
Choice B reason:
Giving oral rehydration solution in small, frequent amounts is the recommended treatment for mild dehydration due to infection. This helps replace lost fluids and electrolytes.
Choice C reason:
Promethazine is not indicated for the treatment of dehydration. It is an antihistamine and antiemetic, but it does not address the underlying issue of fluid loss.
Choice D reason:
Offering banana and rice can be part of a bland diet after rehydration, but it does not address the immediate need for replenishing lost fluids and electrolytes. The priority is to start with oral rehydration solution.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Placing a urine collection device on the infant is not an appropriate method for collecting a stool specimen.
Choice B reason:
Obtaining the specimen by swabbing the infant's rectum using a sterile culture swab is the correct method for collecting a stool specimen from an infant.
Choice C reason:
Maintaining the specimen at room temperature is appropriate after collection until it is transferred to the lab. This is standard procedure for many specimens.
Choice D reason:
Using povidone-iodine-soaked gauze is not a standard method for transferring a stool specimen to the collection container.
Correct Answer is D
Explanation
Choice A reason:
Bryant traction is used in infants with congenital hip dysplasia. It is not a form of skin traction for lower extremity fractures in adolescents.
Choice B reason:
Cervical skin traction is used for cervical spine injuries or surgeries, not for lower extremity fractures.
Choice C reason:
Dunlop traction is used for fractures of the humerus.
Choice D reason:
Buck extension traction is applied to the lower leg and uses a boot on the affected leg with weights to provide traction. It is commonly used for lower extremity fractures in adolescents.
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