The parents of a 5-year-old state that the child has been having diarrhea for 24 hours, vomited twice 2 hours ago and is now claiming to be thirsty. The parent asks what to offer the child because they are refusing pedialyte. Select the most appropriate response from the nurse:

Pedialyte is the best thing for your child who, if thirsty enough, will eventually drink it.

Pedialyte is really the best thing for your child. Allow them some choice in the way to take it by offering small amounts in a spoon, medicine cup, syringe or popsicle.

You can offer small amounts of clear diet soda such as Sprite or ginger ale.

It really does not matter what your child drinks as long as it is kept down. Try offering small amounts of fluids in medicine cups.

Answer and Explanation

The Correct Answer is B

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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Correct Answer is B

Explanation

Choice A reason: This is not a good choice. Watching for signs of cyanosis and administering high dose steroids are not the first steps in managing infective endocarditis. Cyanosis is a late sign of hypoxia and steroids are not indicated for this condition.

Choice B reason: This is the correct choice. Obtaining blood cultures, administering high dose antibiotics, and assessing for cardiac decompensation are the priority interventions for a child with infective endocarditis. Blood cultures are needed to identify the causative organism and guide antibiotic therapy. High dose antibiotics are needed to eradicate the infection and prevent further damage to the heart valves. Cardiac decompensation is a serious complication of infective endocarditis that can lead to heart failure and shock.

Choice C reason: This is not a good choice. Starting high dose antibiotics, obtaining serial blood cultures, and putting the child on high flow oxygen are not the best order of management for infective endocarditis. Blood cultures should be obtained before starting antibiotics to avoid false negative results. High flow oxygen may not be necessary unless the child has signs of hypoxia or respiratory distress.

Choice D reason: This is not a good choice. Obtaining CBC, CXR and starting child on high dose aspirin are not the first steps in managing infective endocarditis. CBC and CXR are useful tests to monitor the infection and the cardiac function, but they are not as urgent as blood cultures. High dose aspirin is not recommended for infective endocarditis as it can increase the risk of bleeding.

A. True B. False

Correct Answer is A

Explanation

Choice A reason: This is the correct choice. Aspirin is a part of the treatment for children with Kawasaki disease, which is a rare but serious condition that causes inflammation of the blood vessels. Aspirin is given to reduce fever, inflammation, and the risk of developing coronary artery aneurysms. Aspirin is usually given in high doses during the acute phase of the disease and then in low doses as a preventive measure until the inflammation subsides.

Choice B reason: This is not a good choice. Aspirin is not contraindicated for children with Kawasaki disease, unlike other conditions such as Reye syndrome or viral infections. Aspirin is a beneficial and essential part of the treatment for children with Kawasaki disease, as it can prevent serious and potentially fatal complications.

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The parents of a 5-year-old state that the child has been having diarrhea for 24 hours, vomited twice 2 hours ago and is now claiming to be thirsty. The parent asks what to offer the child because they are refusing pedialyte. Select the most appropriate response from the nurse:

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Naxlex Comprehensive Predictor Exams

A 3-year-old child with a complex cardiac defect is admitted with infective endocarditis. Management (in what order) would be:

Correct Answer is B

Explanation

Aspirin is a part of the treatment for children with Kawasaki disease

Correct Answer is A

Explanation

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