A young child is brought to the emergency department with severe dehydration secondary to acute diarrhea and vomiting. Therapeutic management of this child will begin with:
a. Intravenous fluids.
b. Oral rehydration solution (ORS).
c. Clear liquids, 1 to 2 ounces at a time.
d. Administration of antidiarrheal medication.
ANS: A
Intravenous fluids are initiated in children with severe dehydration. ORS is acceptable therapy if the dehydration is not severe. Diarrhea is not managed by using clear liquids by mouth. These fluids have a high carbohydrate content, low electrolyte content, and high osmolality. Antidiarrheal medications are not recommended for the treatment of acute infectious diarrhea.
You might also like to view...
Which of the following factors will result in a shift of the oxyhemoglobin dissociation curve to the left?
a. Increased PaCO2 c. Increased temperature b. Increased pH d. Increased 2,3-DPG
The plan-do-study-act cycle begins with:
a. three questions. c. five agendas. b. four stages. d. two concepts.
When a nurse tries to administer medication, the client refuses it, saying, "I don't have to take those pills if I don't want to." What intervention by the nurse would have the highest priority?
a) Explaining the consequences of not taking the medication, such as a negative outcome b) Insisting that the client take the medication because it is specifically ordered for the client c) Exploring how the client's feelings affect his/her decision to refuse medication d) Reporting the client's comments to the physician and the treatment team
The nurse is about to elicit the rooting reflex on a newborn baby. Which of the following responses should the nurse expect to see?
A) When the cheek of the baby is touched, the newborn turns toward the side that is touched. B) When the lateral aspect of the sole of the baby's foot is stroked, the toes extend and fan outward. C) When the baby is suddenly lowered or startled, the neonate's arms straighten outward and the knees flex. D) When the newborn is supine and the head is turned to one side, the arm on that same side extends.