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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
A blood glucose level of 220 mg/dL is elevated and should be addressed, but it may not be an immediate priority compared to the presence of Kussmaul respirations.
Choice B reason.
Correct. Kussmaul respirations are a sign of diabetic ketoacidosis (DKA), a severe complication of diabetes. This requires immediate attention and intervention.
Choice C reason:
Vomiting is a concerning symptom, but it may not be as immediately life-threatening as Kussmaul respirations.
Choice D reason:
Frequent urination is a common symptom of diabetes, but it may not require immediate intervention unless it is accompanied by other severe symptoms.
Correct Answer is B
Explanation
Choice A: Teaching the child to swim does not eliminate the risk of accidental drowning. While swimming skills are important, they cannot guarantee that a child will not drown, especially if they are unsupervised or encounter an unexpected situation in the water.
Choice B: An adult should remain within arm's reach of the child when near water. Constant supervision is crucial because toddlers can move quickly and may not understand the dangers of water. Being within arm's reach allows the adult to react immediately if the child is in distress.
Choice C: Most incidents of accidental drowning do not necessarily occur in ponds or lakes; they can happen in any body of water, including home swimming pools, bathtubs, and even buckets. Therefore, vigilance is required around all water sources.
Choice D: Placing a fence around a pool can help prevent accidental drowning, but it does not ensure the safety of the child. A fence is a barrier but not a substitute for active supervision. It's also important that the fence is properly maintained and secured.
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