A 7 year old with acute diarrhea and mild dehydration is being given oral rehydration. The child's mother calls the clinic nurse because he is also occasionally vomiting. The nurse should recommend which of the following?
1. Bring the child to the hospital as soon as possible for IV fluids
2. Alternate between oral rehydration and soda pop
3. Continue giving the oral rehydration in small amounts
4. Do not allow the child to drink anything for the next eight hours, then restart fluids if the vomiting has stopped.
3
Feedback
1. Because this is acute and only occasional vomiting, the child can be taken care of at home with close monitoring.
2. Soda has sodium and can contribute to the electrolyte imbalance.
3. Small amounts of fluids will decrease the urge to vomit because it is not filling the entire stomach, and the hydration will help the electrolytes find balance.
4. Waiting eight hours can further the dehydration and cause more issues with vomiting because the electrolyte imbalance is not being addressed.
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