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A nurse is caring for a client on a pediatric unit.

Exhibits
Select the effective interventions for managing diarrhea in children

Clear liquid diet

Hydration therapy

Low-fiber diet

Electrolyte replacement

Opioid analgesics

Antibiotic administration

Answer and Explanation

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.

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Free Nursing Study Resources

Correct Answer is []

Explanation

Rationale:

Potential Condition: The client with cirrhosis shows elevated ammonia (236 mcg/dL), confusion, agitation, and disorientation, which are classic findings of hepatic encephalopathy.
Actions to Take:
- Lactulose is given to lower ammonia levels by promoting its excretion through the stool.
- Assessing for asterixis (flapping tremor of the hands) is key in identifying worsening encephalopathy.
Parameters to Monitor:
- Neurologic status (orientation, cognition, responsiveness) should be monitored closely to evaluate improvement or deterioration.
- Safety measures are essential because confusion and agitation increase the client’s risk for falls and injury.

A. Thirty minutes before breakfast B. With a bedtime snack C. During the evening meal D. Thirty minutes after lunch

Correct Answer is A

Explanation

Rationale:

A. Lansoprazole is a proton pump inhibitor (PPI) that works best when given before meals, ideally 30–60 minutes prior to the first meal of the day, to maximize inhibition of gastric acid secretion.

B. Taking lansoprazole at night does not optimize its effect because acid production is highest in the morning.

C. Administering with food reduces absorption and efficacy of the medication.

D. PPIs should be taken before the meal, not after, to ensure maximum acid suppression.

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A nurse is caring for a client on a pediatric unit. Exhibits Select the effective interventions for managing diarrhea in children

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is []

Explanation

A client is prescribed lansoprazole 15 mg PO once a day. At which of the following times should the nurse administer the medication?

Correct Answer is A

Explanation

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A nurse is caring for a client on a pediatric unit. Exhibits Select the effective interventions for managing diarrhea in children

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A nurse is caring for a client on a pediatric unit.

Exhibits
Select the effective interventions for managing diarrhea in children