Author Question: Which is the best nursing response to give a parent about contacting the physician regarding an ... (Read 131 times)

biggirl4568 · **on:** Jun 27, 2018

Which is the best nursing response to give a parent about contacting the physician regarding an infant with diarrhea?

a. Call your pediatrician if the infant has not had a wet diaper for 6 hours..
b. The pediatrician should be contacted if the infant has two loose stools in an 8-hour period..
c. Call the doctor immediately if the infant has a temperature greater than 100F..
d. Notify the pediatrician if the infant naps more than 2 hours..

Question 2

Which is the primary intervention in treating a child with persistent vomiting?

a. Detecting the cause of vomiting
b. Preventing metabolic acidosis
c. Positioning the child supine
d. Recording intake and output

ladyjames123 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
No urine output in 6 hours needs to be reported because it indicates dehydration. Two loose stools in 8 hours is not a serious concern. If blood is obvious in the stool or the frequency increases to one bowel movement every hour for more than 8 hours, the physician should be notified. A fever greater than 101F should be reported to the infant's physician. It is normal for the infant who is not ill to nap for 2 hours. The infant who is ill may nap longer than the typical amount.

Answer to Question 2

A
The primary focus of managing vomiting is detection of the cause and then treatment of the cause. Metabolic alkalosis results from persistent vomiting. Prevention of complications is the secondary focus of treatment. The child with persistent vomiting should be positioned upright or side-lying to prevent aspiration. Recording intake and output is a nursing intervention but it is not the primary focus of treatment.