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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?

A.

Offer chicken broth

B.

Assit with starting an infusion of a hypertonic solution

C.

Assist with initiating oral rehydration therapy

D.

Keep NPO until diarrhea stops

Answer and Explanation

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.


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Related Questions

Correct Answer is C

Explanation

A. Low-protein, low-potassium diet: Protein restriction is not typically required unless severe renal dysfunction exists. Potassium restriction is not necessary with normal output and levels.
B. Low-carbohydrate, low-protein diet: There is no need to restrict carbohydrates.
C. Regular diet, no added salt: Sodium restriction helps manage edema without imposing unnecessary dietary limitations.
D. Low-sodium, fluid-restricted diet: Fluid restriction is not typically required unless there is severe oliguria or fluid overload.

Correct Answer is D

Explanation

A. "The operation will straighten out the kink in the intestine.": Hirschsprung’s disease involves a lack of nerve cells in the colon, not a physical kink.
B. "I want to learn how to use the feeding tube as soon as possible.": Feeding tubes are not a standard part of treatment for Hirschsprung’s disease.
C. "I’m glad my child will have bowel movements now.": While the surgery will help bowel function, the initial goal is creating an ostomy to divert stool.
D. "I’m glad that the ostomy is only temporary.": The initial surgery often involves a temporary ostomy to allow the colon to heal before definitive repair.

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