The nurse is admitting a child who has had diarrhea for 1 week. Which goal is appropriate for this client when writing the plan of care?
A) The client will increase the amount of sugar in the diet.
B) The client will defecate regularly by discharge.
C) The client will limit fluid intake for 3 days.
D) The client will regain normal stool consistency by discharge.
Answer: D
As this client is experiencing diarrhea, the goal will be to regain normal stool consistency, which means less water will be in the stool, resulting in a more formed consistency. Defecating regularly once the diarrhea has subsided can be a goal, but it is too soon for this goal; the problem needs to be corrected first. Since the client is experiencing diarrhea, which can dehydrate the body and promote electrolyte loss, limiting fluid is not appropriate. Increasing the amount of sugar in the diet will just add to the diarrhea.
You might also like to view...
The client voices concerns about chronic health problems. The nurse explains the importance of participating in screening tests for physical changes. Which of the following statements indicates understanding by the client?
A) "I should start having bone density studies annually once I reach menopause." B) "Diabetes screening should be done every 2 years." C) "Annual skin examinations should be performed to review changes and problematic areas." D) "I will need to update my tetanus booster every 5 years."
The nurse anticipates that the client who rates pain as 10 on a scale of 1 to 10 has undergone which surgical procedure?
a. Cranial surgery b. Leg surgery c. Neck surgery d. Upper abdominal surgery
All of the following are examples of major prophetic religions EXCEPT
a. Judaism c. Islam b. Christianity d. Buddhism
In a child diagnosed with sickle cell disease, which clinical manifestation would the nurse most likely assess?
A) Decreased hemoglobin level B) Increased appetite C) Strawberry-colored tongue D) Hyperactive bowel sounds