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
Explanation
A. Urine specific gravity 1.034: This indicates concentrated urine, a sign of dehydration.
B. Distended neck veins: This is a sign of fluid overload, not dehydration.
C. BP 146/94 mm Hg: Hypertension is not a typical sign of dehydration; instead, dehydration often leads to low blood pressure.
D. Bounding pulse: Dehydration typically causes a weak, thready pulse rather than a bounding one.
Correct Answer is C
Explanation
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.
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