A nurse is planning care for a child who has severe diarrhea. Which of the following actions is the nurse's priority?
Introduce a regular diet.
Maintain fluid therapy.
Rehydrate
Assess fluid balance
The Correct Answer is A
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A.Gentamicin is known to be nephrotoxic and can potentially cause kidney damage, especially if not properly monitored for dosage and duration of use. Therefore, this client is at increased risk for AKI due to the medication.
B.Heart failure, particularly when it is acute or decompensated, can reduce renal perfusion, leading to prerenal acute kidney injury. In heart failure, the reduced cardiac output leads to decreased blood flow to the kidneys, which can impair kidney function and result in AKI.
C.Postoperative patients are at risk for AKI due to various factors such as surgical stress, blood loss during surgery, use of anesthesia, and potential complications that can affect kidney function during the recovery phase.
D.Pneumonia itself does not directly cause acute kidney injury. In the absence of complications like sepsis or dehydration, pneumonia alone is not a significant direct risk for AKI.
Correct Answer is D
Explanation
A.While broth can provide fluids and some electrolytes, it is often high in sodium and may not be balanced for a child with diarrhea. High sodium content can exacerbate dehydration and does not adequately replace the lost potassium.
B.Apple juice contains high levels of sugar and may worsen diarrhea by drawing water into the intestines. Additionally, the fructose in apple juice can be difficult to absorb and may lead to increased gastrointestinal discomfort.
C.Cherry gelatin provides fluids but contains sugar and artificial coloring, which are not ideal for rehydration. It does not have the necessary electrolytes that are lost during diarrhea.
D.Pedialyte is specifically formulated to replace fluids and electrolytes lost during episodes of diarrhea and vomiting. It helps prevent dehydration by providing an appropriate balance of electrolytes and fluids that are easily absorbed by the body.
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