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. 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.

A. Administer benadryl. B. Apply ice to the site. C. Give epinephrine. D. Determine if the sting is in situ

Correct Answer is C

Explanation

A. Administering Benadryl may help with allergic reactions but is not the immediate priority when the patient is showing signs of severe hypotension and respiratory distress.

B. Applying ice to the site may help with local swelling but does not address the systemic reaction the child is experiencing.

C. Giving epinephrine is the priority action as it counteracts the anaphylactic reaction, improves blood pressure, and alleviates respiratory distress.

D. Determining if the sting is in situ is less critical than addressing the child's life-threatening symptoms.

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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

A nurse is caring for a child who is postoperative following surgical removal of a Wilms' tumor. Which of the following assessments sacation.co continue NPO status?

Correct Answer is B

Explanation

A 9-year-old client presents to the emergency department after a bee sting and experiencing bouts of nausea and vomiting. The nurse notes the client's blood pressure is 68/40 mm Hg, pulse is 148 beats/minute. 02 saturation is 86%, and the child is dyspneic. Which action is the nurse's priority?

Correct Answer is C

Explanation

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