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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Orally: Oral temperature measurement is generally not suitable for a 1-year-old because they are often not able to cooperate, but it is not contraindicated for the child.
B. Tympanic: Tympanic (ear) temperature measurement is acceptable in children over 3 months old and is non-invasive.
C. Rectal: Rectal temperature should be avoided in infants and toddlers with diarrhea due to the risk of rectal trauma and infection. Diarrhea may also cause irritation to the rectal area, increasing the risk of injury.
D. Axillary: Axillary (underarm) temperature measurement is safe and commonly used in children, particularly for non-invasive monitoring.
Correct Answer is D
Explanation
A. Counting the number of wet diapers every shift: While useful, daily weight provides a more precise measure of fluid balance.
B. Taking the infant's vital signs every 2 hr: Vital signs alone do not provide as direct a measure of fluid balance as daily weight.
C. Measuring the infant's head circumference twice per day: Head circumference is unrelated to hydration status.
D. Weighing the infant at the same time every day: Daily weight is the most accurate indicator of fluid status in infants.
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