Author Question: Which is the best nursing response to a parent asking about antidiarrheal medication for her ... (Read 81 times)

ghost! · **on:** Jun 27, 2018

Which is the best nursing response to a parent asking about antidiarrheal medication for her 18-month-old child?

a. It is okay to give antidiarrheal medication to a young child as long as you follow the directions on the box for correct dosage..
b. Antidiarrheal medication is not recommended for young children because it slows the body's attempt to rid itself of the pathogen..
c. I'm sure your child won't like the taste so give her extra fluids when you give the medication..
d. Antidiarrheal medication will decrease the frequency of stools, but give your child Gatorade to maintain electrolyte balance..

Question 2

A nurse is teaching parents about diarrhea. Which statement by the parents indicates understanding of the teaching?

a. Diarrhea results from a fluid deficit in the small intestine.
b. Organisms destroy intestinal mucosal cells, resulting in an increased intestinal surface area.
c. Malabsorption results in metabolic alkalosis.
d. Increased motility results in impaired absorption of fluid and nutrients.

mcarey591 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
Antidiarrheal medications may actually prolong diarrhea because the body will retain the organism causing the diarrhea, further increasing fluid and electrolyte losses. The use of these medications is not recommended for children aged younger than 2 years because of their binding nature and potential for toxicity. It is not appropriate to advise a parent to use antidiarrheal medication for a child aged younger than 2 years. Education about appropriate oral replacement fluids includes avoidance of sugary drinks, apple juice, sports beverages, and colas.

Answer to Question 2

D
Increased motility and rapid emptying of the intestines result in impaired absorption of nutrients and water. Electrolytes are drawn from the extracellular space into stool, and dehydration results. Diarrhea results from fluid excess in the small intestine. Destroyed intestinal mucosal cells result in decreased intestinal surface area. Loss of electrolytes in the stool from diarrhea results in metabolic acidosis.