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
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 B
Explanation
A. Collect a stool sample from the toddler: This is important but not the priority. Dehydration status must be assessed first.
B. Determine if the toddler is voiding: Assessing for urination helps evaluate hydration status and guides fluid replacement.
C. Initiate isotonic fluids with 20 mEq/L potassium chloride: Potassium should not be added until kidney function and voiding are confirmed.
D. Request evaluation of the toddler’s serum electrolytes: This is important but comes after assessing hydration and kidney function.
Correct Answer is D
Explanation
A. 15 mL: 15 mL is far too high for the volume corresponding to 1 gram of diaper weight.
B. 30 mL: 30 mL is too large of a conversion for 1 gram of diaper weight.
C. 5 mL: 5 mL is too large for the standard conversion of 1 gram of diaper weight to urine volume.
D. 1ml:Because urine has a density very close to water, 1 gram of wet diaper weight is considered equivalent to 1 milliliter of urine output. This conversion allows accurate measurement of infant urine output when direct collection in a calibrated container isn’t feasible.
Because urine has a density very close to water, 1 gram of wet diaper weight is considered equivalent to 1 milliliter of urine output. This conversion allows accurate measurement of infant urine output when direct collection in a calibrated container isn’t feasible.
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