The nurse is caring for a 6-month-old with diarrhea secondary to rotavirus. The child has not vomited, but is mildly dehydrated. Which is likely to be included in the discharge teaching?
Continue breastfeeding per routine.
Administer Imodium as needed.
Administer Kaopectate as needed.
Return to daycare 24 hours after antibiotics have been started.
The Correct Answer is A
Choice A reason: This statement is correct, as breastfeeding is the best source of nutrition and hydration for infants with diarrhea, as it provides antibodies, electrolytes, and fluids. The nurse should encourage the mother to continue breastfeeding per routine, or to offer expressed breast milk if the infant is too weak or fussy to nurse.
Choice B reason: This statement is incorrect, as Imodium is not recommended for infants with diarrhea, as it can cause serious side effects, such as ileus, toxic megacolon, or central nervous system depression. The nurse should advise the parents to avoid giving any anti-diarrheal medications to the infant, unless prescribed by the doctor.
Choice C reason: This statement is incorrect, as Kaopectate is not recommended for infants with diarrhea, as it contains bismuth subsalicylate, which can cause Reye syndrome, a rare but serious condition that affects the liver and brain. The nurse should advise the parents to avoid giving any anti-diarrheal medications to the infant, unless prescribed by the doctor.
Choice D reason: This statement is incorrect, as returning to daycare 24 hours after antibiotics have been started is not appropriate for infants with diarrhea secondary to rotavirus, as antibiotics are not effective against viral infections, and the infant may still be contagious and infect other children. The nurse should instruct the parents to keep the infant at home until the diarrhea has resolved, and to practice good hand hygiene and sanitation to prevent the spread of the infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This statement is correct, as standard precautions are the minimum level of infection control practices that should be applied to all patients, regardless of their diagnosis or presumed infection status. Standard precautions include hand hygiene, use of personal protective equipment (PPE), safe handling of sharps and contaminated items, and environmental cleaning. Standard precautions are sufficient for most patients with HIV, unless they have other infections that require additional precautions.
Choice B reason: This statement is incorrect, as droplet precautions are not required for patients with HIV, unless they have other infections that are transmitted by respiratory droplets, such as influenza, pertussis, or meningitis. Droplet precautions include wearing a surgical mask when within 3 feet of the patient, placing the patient in a private room or cohorting with other patients with the same infection, and limiting the movement of the patient outside the room.
Choice C reason: This statement is incorrect, as contact precautions are not required for patients with HIV, unless they have other infections that are transmitted by direct or indirect contact, such as Clostridioides difficile, scabies, or herpes simplex virus. Contact precautions include wearing gloves and gowns when entering the patient's room, placing the patient in a private room or cohorting with other patients with the same infection, and dedicating patient-care equipment to the patient or disinfecting it before use on another patient.
Choice D reason: This statement is incorrect, as airborne precautions are not required for patients with HIV, unless they have other infections that are transmitted by airborne particles, such as tuberculosis, measles, or chickenpox. Airborne precautions include wearing a respirator or N95 mask when entering the patient's room, placing the patient in a negative-pressure isolation room with the door closed, and limiting the movement of the patient outside the room.
Correct Answer is B
Explanation
Choice A reason: This statement is incorrect, as pedialyte is not the best thing for the child who is refusing to drink it, as it can cause dehydration and electrolyte imbalance. The nurse should not force the child to drink pedialyte, but rather offer alternatives that are more appealing and acceptable to the child.
Choice B reason: This statement is correct, as pedialyte is the best thing for the child who has diarrhea and vomiting, as it can prevent dehydration and electrolyte imbalance. The nurse should encourage the parent to give pedialyte to the child, but also respect the child's preferences and autonomy. The nurse should suggest different ways to make pedialyte more palatable and fun for the child, such as using a spoon, a medicine cup, a syringe, or a popsicle.
Choice C reason: This statement is incorrect, as clear diet soda is not a good option for the child who has diarrhea and vomiting, as it can worsen the dehydration and electrolyte imbalance. The nurse should advise the parent to avoid giving soda to the child, as it contains caffeine, sugar, and carbonation, which can irritate the stomach and intestines, and increase the fluid loss.
Choice D reason: This statement is incorrect, as it does matter what the child drinks, as some fluids can help or harm the child's hydration and electrolyte status. The nurse should educate the parent about the best and worst fluids for the child who has diarrhea and vomiting, and recommend pedialyte as the first choice. The nurse should also instruct the parent to give small and frequent amounts of fluids to the child, and to monitor the urine output, weight, and signs of dehydration.
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