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. Instilling 2 mL of 0.9% sodium chloride is not recommended as it can cause discomfort and does not improve the effectiveness of suctioning.
B. Sterile technique, not clean technique, should be used when suctioning a tracheostomy to prevent infection.
C. Applying suction in 3 to 4 second increments is appropriate to clear the occlusion effectively without causing trauma to the trachea.
D. The catheter should not fit snugly into the tracheostomy tube; it should be small enough to fit comfortably to avoid trauma and ensure effective suctioning.
Correct Answer is D
Explanation
A. Fruity breath odor is associated with hyperglycemia and ketoacidosis, not hypoglycemia.
B. Flushed skin is not a typical symptom of hypoglycemia.
C. Thirst is commonly associated with hyperglycemia.
D. Headache is a common symptom of hypoglycemia due to the lack of glucose supply to the brain.
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