A school-age child with acute diarrhea and mild dehydration is being given oral rehydration solutions (ORS). The child's mother calls the clinic nurse because he is also occasionally vomiting. The nurse should recommend which intervention?
a. Bring the child to the hospital for intravenous fluids.
b. Alternate giving ORS and carbonated drinks.
c. Continue to give ORS frequently in small amounts.
d. Keep child NPO (nothing by mouth) for 8 hours and resume ORS if vomiting has subsided.
ANS: C
Children who are vomiting should be given ORS at frequent intervals and in small amounts. Intravenous fluids are not indicated for mild dehydration. Carbonated beverages are high in carbohydrates and are not recommended for the treatment of diarrhea and vomiting. The child is not kept NPO because this would cause additional fluid losses.
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