The nurse is speaking to the parent of a 3 year-old child who has diarrhea. What dietary modification would the nurse advice?

An oral rehydrating solution, such as Pedialyte

Small amounts of clear fluids such as gelatin

Chicken soup because its high in sodium

soft foods with rice, bananas, toast, and applesauce

Answer and Explanation

The Correct Answer is A

A. An oral rehydrating solution, such as Pedialyte: Oral rehydration solutions are the best choice for managing dehydration and electrolyte imbalance during diarrhea.
B. Small amounts of clear fluids such as gelatin: Clear fluids alone, like gelatin, lack the necessary electrolytes to treat diarrhea-induced dehydration.
C. Chicken soup because it's high in sodium: Chicken soup may be too high in sodium and can lead to an electrolyte imbalance.
D. Soft foods with rice, bananas, toast, and applesauce: While suitable in recovery, these foods do not replace the immediate need for rehydration and electrolyte balance.

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Correct Answer is A

Explanation

A. Ribbonlike, foul-smelling stools. This is a classic symptom of Hirschsprung disease due to chronic constipation and obstruction from the absence of ganglion cells in the rectum.
B. Projectile vomiting. Projectile vomiting is associated with pyloric stenosis, not Hirschsprung disease.
C. Chronic hunger. This is also indicative of pyloric stenosis rather than Hirschsprung disease.
D. Ridged abdomen. While abdominal distension may occur, a ridged abdomen is not specific to Hirschsprung disease.

A. Feed the infant half-strength formula for the first 48 hr. B. Remove elbow restraints while the infant is sleeping. C. Administer pain medication PRN for the first 48 hr. D. Keep the infant in a side-lying position.

Correct Answer is D

Explanation

A. Feed the infant half-strength formula for the first 48 hr: Feeding guidelines do not typically require diluted formula unless directed by the surgeon.
B. Remove elbow restraints while the infant is sleeping: Elbow restraints should remain in place to prevent the infant from touching the surgical site, even during sleep.
C. Administer pain medication PRN for the first 48 hr: Pain medication should be administered on a regular schedule initially to control pain effectively.
D. Keep the infant in a side-lying position: This position helps protect the surgical site and minimizes the risk of aspiration.

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The nurse is speaking to the parent of a 3 year-old child who has diarrhea. What dietary modification would the nurse advice?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has Hirschsprung disease. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is contributing to the plan of care for a 2-month-old infant who has just undergone cleft palate repair. The nurse should contribute which of the following interventions to the client's plan of care?

Correct Answer is D

Explanation

A nurse is planning to monitor a client for dehydration following several episodes of vomiting and an increase in the client's temperature. Which of the following findings should the nurse identify as an indication that the client is dehydrated?

A nurse is calculating the output of an infant admitted who has dehydration. When weighing the diaper, the nurse should equate 1 g of wet diaper weight to which of the following amounts of urine?

A nurse is preparing to administer an oral elixir to a 3-month-old infant using an oral medication syringe. Which of the following actions should the nurse plan to take?

A nurse working at a clinic speaks on the telephone with a parent of a 2-month-old infant. The parent tells the nurse that the infant has projectile vomiting followed by hunger after meals. Which of the following responses by the nurse is appropriate?

A nurse is preparing to administer liquid famotidine 20 mg PO every 6 hr for GERD. Available is famotidine 40 mg/5 mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)

What is a common treatment for enuresis?

The nurse is monitoring for signs and symptoms of dehydration in a 1 year old child who has been hospitalized for diarrhea and prepares to take the child's temperature. Which method of temperature measurement should be avoided?

A nurse is caring for a 2-month-old infant who is postoperative following repair of a cleft lip and palate. The surgeon prescribes restraints. The nurse should apply which of the following types of restraints to the infant?