A nurse is caring for a client on a pediatric unit.
Clear liquid diet
Hydration therapy
Low-fiber diet
Electrolyte replacement
Opioid analgesics
Antibiotic administration
Correct Answer : A,B,D
Rationale:
- Hydration therapy is the cornerstone of pediatric diarrhea management, as children are at high risk for rapid fluid loss and dehydration. Both oral rehydration solutions and IV fluids may be necessary depending on severity.
- Electrolyte replacement helps correct imbalances caused by frequent watery stools, especially sodium and potassium losses, preventing complications like hypovolemia and arrhythmias.
- Clear liquid diet provides gentle reintroduction of fluids and easy-to-digest intake, helping to maintain hydration while minimizing gastrointestinal irritation.
- Low-fiber diet may reduce stool bulk but is not a primary intervention for acute diarrhea.
- Opioid analgesics are contraindicated in children with diarrhea due to risk of bowel obstruction and toxicity.
- Antibiotic administration is only appropriate when a bacterial cause has been confirmed; most pediatric diarrhea is viral and self-limiting.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Lifting restrictions are typically advised for 2–4 weeks after laparoscopic cholecystectomy, not immediately postoperatively.
B. Encouraging ambulation once the client is fully awake helps prevent complications such as atelectasis, deep vein thrombosis, and promotes bowel function.
C. Placing the client flat in a supine position can increase the risk of respiratory complications; semi-Fowler’s is preferred.
D. Offering ice cream is not appropriate immediately after surgery; clear liquids are usually initiated first to assess tolerance.
Correct Answer is B
Explanation
Rationale:
A. Pain in this area is more commonly associated with appendicitis, not diverticular disease.
B. Lower left quadrant is the typical site of pain in diverticular disease, especially diverticulitis, because the sigmoid colon (most often affected) is located here.
C. Upper left quadrant; Pain in this area is more often linked to conditions involving the spleen, stomach, or pancreas.
D. Upper right quadrant; Pain here is usually related to gallbladder, liver, or biliary tract disorders.
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