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 "\"{\\\"xRanges\\\":[163.4270782470703,203.4270782470703],\\\"yRanges\\\":[122.35760498046875,162.35760498046875]}\""
Explanation
The recommended placement for a small pediatric pulse oximeter probe is around the great toe, the outer palm or the foot. This placement is non-invasive and should not cause discomfort to the child. The nurse should the apply a snuggly fitting sock to hod the sensor in place.
Correct Answer is A
Explanation
A. Giving small amounts of oral rehydration solution frequently helps to prevent dehydration without overwhelming the child's stomach. This method is effective in rehydrating the child gradually and is well tolerated.
B. Fruit juices, especially those high in sugar, can worsen diarrhea and dehydration. They are not recommended for rehydration in cases of gastrointestinal infections.
C. While bananas and rice are part of the BRAT diet and can be included in meals, they do not address the immediate need for rehydration as effectively as oral rehydration solutions.
D. Promethazine is an antiemetic that is not typically indicated for mild dehydration and can have sedative side effects. Oral rehydration is the priority in managing mild dehydration.
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