A nurse is planning care for a toddler who was admitted for acute diarrhea. Which of the following actions is the nurse's priority?
Initiating IV fluid therapy
Administering a regular diet
Administering IV antibiotics
Initiating oral rehydration therapy
The Correct Answer is D
A. IV fluid therapy may be necessary if the child cannot tolerate oral fluids, but oral rehydration therapy is the first line of treatment for mild to moderate dehydration.
B. Administering a regular diet is important for recovery but is not the priority action when addressing acute dehydration.
C. IV antibiotics are not typically necessary for acute diarrhea unless there is a confirmed bacterial infection.
D. Initiating oral rehydration therapy is the priority to address dehydration and replace lost fluids and electrolytes effectively.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A fracture from a bicycle injury is consistent with common childhood accidents and does not necessarily indicate maltreatment.
B. Small bruises on the shins of a toddler are typical as they learn to walk and play and are not necessarily a sign of maltreatment.
C. Frequent urinary tract infections in a young child can be a sign of sexual abuse or neglect and should be reported for further investigation. This pattern is concerning and warrants further evaluation by a healthcare provider.
D. Biting behavior in toddlers is relatively common and part of normal development. It does not necessarily indicate maltreatment.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A,B"},"C":{"answers":"A,B"},"D":{"answers":"A"}}
Explanation
Acute Laryngotracheobronchitis (Croup): This condition typically presents with a barking, seal-like cough and inspiratory stridor due to inflammation of the upper airway, often caused by a viral infection such as parainfluenza virus.
Pneumonia: While irritability and fever can be present in both conditions, the presence of stridor (especially inspiratory) is more characteristic of Acute Laryngotracheobronchitis. Pneumonia typically presents with a productive cough, fever, and signs of lower respiratory tract involvement such as crackles or decreased breath sounds on auscultation.
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