The parent of an 18-month-old toddler calls the clinic to report that the child has vomited 5 times that day. The nurse determines that the child has had three wet diapers in the past 6 hours. What will the nurse recommend for this child?
a. Administering an OTC antiemetic medication such as diphenhydramine
b. Giving frequent, small amounts of Pedialyte
c. Keeping the child NPO until vomiting subsides
d. Taking the child to the emergency department for IV fluids
ANS: B
The child is not dehydrated as evidenced by adequate wet diapers, so nonpharmacologic measures, such as oral fluids, are recommended. Antiemetics are not recommended unless dehydration occurs. Intravenous fluids are given when dehydration is present.
You might also like to view...
Which finding could cause the nurse to suspect gestational trophoblastic disease in a client at 8 weeks' gestation?
a. Blood pressure of 128/70 mm Hg b. Fundal height of 12 cm c. Nausea and vomiting d. Weight gain of 3 pounds
What type of testing is an inexpensive way to predict the presence of tubal disease and may be more predictive of infertility than an abnormal HSG?
1. Chlamydia trachomatis IgG antibody testing 2. Preimplantation genetic testing 3. Noninvasive prenatal testing (NIPT) 4. DNA testing
A nurse is scheduling a client's medications. The client is ordered to receive a daily dose of amitriptyline (Elavil). Because of the major side effects of this medication, the nurse correctly schedules this medication at:
a. 8:00 AM. b. 12:00 PM. c. 5:00 PM. d. 10:00 PM.
A patient is receiving vancomycin IV every 8 hours at 0800, 1600, and 2400 . A serum peak and trough level is ordered after the third dose, which will be given at 1600 . When should the nurse order the trough level?
a. 1630 b. 1800 c. 2330 d. 2400