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a nurse is planning care for a child who has severe diarrhea. which of the following
actions is the nurse priority?
A. Introduce a regular diet
B. Rehydrate
C. Maintain fluid therapy
D. Assess fluid balance
(Assess first the other three are interventions, before u intervene you have to
assess how much fluid imbalance. Check for labs results because it will tell
you what kind of fluid is to be given and how much fluid to be replaced.
Priority is assessment first)
A nurse is caring for a toddler who’s parent states that the child has a mass in his
abdominal area and his urine is a pink color. Which of the following actions is the
nurse’s priority?
A. Schedule the child for an abdominal ultrasound
B. Instruct the parent to avoid pressing on the abdominal area
C. Determine if the child is having pain
D. Obtain a urine specimen for a urinalysis
A nurse is caring for a child who has acute glomerulonephritis. Which of the
following actions is the nurse’s priority?
A. Place the child on a no salt added diet
B. Check the Childs weight daily
C. Educate the parents about potential complications
D. Maintain a saline lock (IV access that is attached to any fluids. For
emergency)
(inflammation of the kidneys caused by group A beta hemolytic streptococcus,
infection. Fluid or fluid retention. Patient with kidney problems affect blood pressure
-> High blood pressure because of fluid retention. Salt increases high blood pressure.
Lower the salt intake of this patient)
A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis.
Which of the following is the nurse’s priority?
A. Administer antibiotics when available
B. Reduce environmental stimuli (because of increase of ICP and can cause
seizures)
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