A nurse is caring for a year old child who has had watery diarrhea for the past 3 days. Which of the following is the most appropriate action for the nurse to take?

Offer the child guitar chicken broth

Initiate oral rehydration therapy

Start hypertonic solution

Keep NPO until the diarrhea subsides

Answer and Explanation

The Correct Answer is B

A. While clear chicken broth can provide some hydration, it does not contain the necessary electrolytes to replace losses effectively.

B. Initiating oral rehydration therapy is critical for managing dehydration due to diarrhea and is the best approach for a child in this situation.

C. Starting a hypertonic solution is inappropriate and could lead to further dehydration or electrolyte imbalances.

D. Keeping the child NPO is not necessary; it is more important to maintain hydration and possibly offer oral rehydration solutions.

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Correct Answer is B

Explanation

A. Positioning for comfort is a common intervention during a vaso-occlusive crisis to alleviate pain.

B. Restricting fluid intake is contraindicated in vaso-occlusive crisis; hydration is crucial to help reduce sickling and improve circulation.

C. Avoiding strain on painful joints is appropriate to prevent exacerbating pain and potential damage.

D. Applying nasal oxygen at 2 liters may be indicated to ensure adequate oxygenation, especially if the child is experiencing any respiratory distress.

A. Passing of flatus every 30 min B. Absent bowel sounds C. Abdominal girth 1 cm larger than yesterday D. Report of pain at the operative site

Correct Answer is B

Explanation

A. Passing flatus every 30 minutes indicates bowel activity and suggests that the child may be able to resume oral intake.

B. Absent bowel sounds indicate a lack of gastrointestinal function, which supports the continuation of NPO status until bowel function returns.

C. An increase in abdominal girth, even by 1 cm, can be concerning postoperatively and may indicate fluid retention or other issues, warranting further assessment.

D. Pain at the operative site is expected post-surgery, but it does not directly relate to the child’s ability to resume oral intake.

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A nurse is caring for a year old child who has had watery diarrhea for the past 3 days. Which of the following is the most appropriate action for the nurse to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A nurse is caring for a year old child who has had watery diarrhea for the past 3 days. Which of the following is the most appropriate action for the nurse to take?