A nurse is caring for a toddler who has infectious gastroenteritis. Which of the following actions should the nurse take?
Offer the toddler flavored gelatin.
Initiate oral rehydration therapy for the toddler.
Include chicken broth in the toddler's diet.
Feed the toddler the BRAT diet.
The Correct Answer is B
Rationale:
A. Offering flavored gelatin can provide some hydration, but it does not provide sufficient electrolytes necessary for rehydration in gastroenteritis.
B. Initiating oral rehydration therapy for the toddler is essential in treating dehydration caused by infectious gastroenteritis. Oral rehydration solutions contain the right balance of electrolytes and fluids to replenish losses.
C. While chicken broth may provide some fluid and salt, it is not as effective as a specific oral rehydration solution tailored for children with gastroenteritis.
D. The BRAT diet (bananas, rice, applesauce, and toast) is no longer recommended as the primary diet for children with gastroenteritis, as it does not provide adequate nutrition or electrolytes.
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Correct Answer is C
Explanation
Rationale:
A. The reason for the medication error should not be documented in the client's medical record due to potential legal implications; such information belongs in the incident report instead.
B. Documentation of notification to the pharmacist is relevant for the incident report but is not appropriate for the client's medical record.
C. The time the medication was given is an important detail that should be documented in the client's medical record as it affects the client's treatment and future medication administration.
D. Documenting the completion of the incident report should be done in the facility's quality assurance system, not in the client’s medical record.
Correct Answer is A
Explanation
Rationale:
A. Initiating the process to review the medical record is appropriate; clients have the right to access their medical information under HIPAA regulations, and the nurse can assist in starting that process.
B. While there are restricted parts of a medical record, the response lacks a proactive approach to assisting the client in accessing the information they have the right to view.
C. This response is dismissive of the client's request and does not provide an avenue for understanding the medical record better.
D. Although the provider can provide more detailed information about treatment, it does not address the client's right to review their own medical record.