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A clinic nurse is caring for a 4-year-old client with acute diarrhea and mild dehydration who is afebrile, active, and alert. The nurse is providing instructions to the parent. Which statement by the parent indicates understanding?

A.

"We can anticipate needing intravenous fluids to correct the dehydration."

B.

"I will continue to give oral rehydration in small amounts."

C.

"Chicken broth will replace the needed electrolytes lost."

D.

"If my child's soft spot becomes depressed, I will notify the healthcare provider immediately."

Answer and Explanation

The Correct Answer is B

Rationale:

 

A. Intravenous fluids are generally not required if the child is alert and active with mild dehydration; oral rehydration is usually sufficient.

 

B. Oral rehydration solutions are appropriate for treating mild dehydration and should be given in small amounts frequently.

 

C. Chicken broth is not ideal for replacing electrolytes because it is low in electrolytes and high in sodium. Oral rehydration solutions are preferred.

 

D. A depressed soft spot (fontanel) is a sign of severe dehydration in infants. For a 4-year-old, signs of dehydration would include changes in urine output, thirst, or dry mucous membranes rather than a depressed fontanel.


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Correct Answer is B

Explanation

Rationale:


A. Offering a pacifier is contraindicated after cleft lip and palate repair as it can disrupt the surgical site and interfere with healing.

B. Maintaining elbow restraints prevents the infant from touching or putting objects in their mouth, which could disrupt the surgical site and compromise healing.

C. The Trendelenburg position is not recommended as it can increase pressure on the surgical site and compromise breathing.
A
D. An ice collar may be used for pain relief in older children or adults but is not typically used in infants, and it may not be feasible in this population.

Correct Answer is B

Explanation

Rationale:

A. A child recovering from nasopharyngitis could still be contagious, and since children with leukemia have compromised immune systems, they are at higher risk of infections.

B. A child with nephrotic syndrome, although potentially needing special care, does not pose the same infection risk as a child recovering from an infectious disease. Therefore, they are a more suitable roommate for a child with leukemia.

C. A child with gastroenteritis may still be infectious and could expose the child with leukemia to gastrointestinal pathogens.

D. A child with rheumatic fever does not have a contagious illness, but the specific needs of the child with leukemia and the potential for complications from infections make it less ideal compared to a non-infectious condition like nephrotic syndrome.

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