A nurse is caring for a child who has watery diarrhea for the past 3 days. Which of the following is an action for the nurse to take?
Offer chicken broth
Assit with starting an infusion of a hypertonic solution
Assist with initiating oral rehydration therapy
Keep NPO until diarrhea stops
The Correct Answer is C
A. Offer chicken broth: Chicken broth is high in sodium and lacks appropriate electrolytes for rehydration.
B. Assist with starting an infusion of a hypertonic solution: Hypertonic solutions are not appropriate for rehydration and can worsen dehydration.
C. Assist with initiating oral rehydration therapy: Oral rehydration therapy is the recommended first-line treatment for dehydration caused by diarrhea.
D. Keep NPO until diarrhea stops: Keeping the child NPO can exacerbate dehydration and is not evidence-based management for diarrhea.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. Report recurrence of urinary frequency: Urinary frequency can indicate unresolved or recurrent UTI.
B. Avoid bubble bath: Bubble baths can irritate the urethra and increase the risk of UTIs.
C. Empty bladder completely with each void: Incomplete bladder emptying can promote bacterial growth.
D. Wipe perineal area back to front: The correct method is wiping front to back to prevent bacterial contamination from the anal area.
E. Wear nylon underpants: Cotton underpants are recommended to allow better airflow and reduce moisture, which promotes bacterial growth.
Correct Answer is D
Explanation
A. Wrist: Wrist restraints do not prevent the infant from touching their mouth.
B. Mummy: A mummy restraint immobilizes the entire body, which is unnecessary and can cause distress.
C. Jacket: Jacket restraints are not appropriate or indicated for postoperative care of cleft lip and palate.
D. Elbow: Elbow restraints prevent the infant from bending their arms and touching or disrupting the surgical repair site.
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