UTI Hesi Case tests with absolute
resolutions.
,Meet the patient - correct ans:An 18-month-old toddler is brought to the
urgent care clinic by their parent who reported the client had a 48-hour
history of fever, diarrhea, and vomiting. The client was last seen by their
pediatrician two days ago and was diagnosed with gastroenteritis and sent
home with the recommendation to follow a bland diet and consume Pedialyte
as tolerated. The parent states the client's highest temperature was 101.8 °F
(38.8 °C) which was relieved by acetaminophen. The last dose of
acetaminophen was given approximately four hours ago.
The client appears lethargic and the parent appears anxious about their
child's condition. The parent continually asks the healthcare provider (HCP)
"Why isn't my child getting better? We saw the pediatrician two days ago
and it was just gastroenteritis!" The parent also indicates they ran out of
Pedialyte the night prior and substituted a sports drink for hydration. The
child was fussy and irritable the prior evening and the parent felt
uncomfortable leaving the child to go to the store to buy more Pedialyte. The
parent reports that the family traveled out of town and returned four days
prior to the onset of the illness.
Which statements are true about gastroenteritis? (SATA)
Most people can recover on their own at home.
Young children and older adults are more
susceptible to dehydration from gastroenteritis.
Dehydration and constipation are the most common symptoms.
It is spread through the fecal oral route.
Thoroughly washing raw food is the best prevention against gastroenteritis. -
correct ans:Most people can recover on their own at home.
, Young children and older adults are more
susceptible to dehydration from gastroenteritis.
Rationale:
Most people can recover on their own. They need to let the condition run its
course. Young children, the elderly, and those who are immunocompromised
are at greater risk for requiring medical intervention.
The intestinal walls become inflamed. The viral form is the second most
common illness in the U.S. The norovirus is the main cause of viral
gastroenteritis.
Note:
Dehydration from vomiting and diarrhea is the main complication due to the
gastroenteritis. It happens more often to infants, young children, older
adults, and those who are immunocompromised.
Gastroenteritis can occur from various sources such as raw food that is not
washed properly, drinking water from contaminated sources, placing hands
in the mouth after touching surfaces contaminated with the norovirus, and
contact with contaminated individuals and/or sharing foods with them.
Vigorous hand washing using water and soap, especially after using the
bathroom, changing diapers, and before meals is the best way to prevent the
spread of infection.
The healthcare provider (HCP) recommends the client return to a regular diet
once rehydrated. Which foods should the parents be instructed to avoid
giving the client? (SATA)
resolutions.
,Meet the patient - correct ans:An 18-month-old toddler is brought to the
urgent care clinic by their parent who reported the client had a 48-hour
history of fever, diarrhea, and vomiting. The client was last seen by their
pediatrician two days ago and was diagnosed with gastroenteritis and sent
home with the recommendation to follow a bland diet and consume Pedialyte
as tolerated. The parent states the client's highest temperature was 101.8 °F
(38.8 °C) which was relieved by acetaminophen. The last dose of
acetaminophen was given approximately four hours ago.
The client appears lethargic and the parent appears anxious about their
child's condition. The parent continually asks the healthcare provider (HCP)
"Why isn't my child getting better? We saw the pediatrician two days ago
and it was just gastroenteritis!" The parent also indicates they ran out of
Pedialyte the night prior and substituted a sports drink for hydration. The
child was fussy and irritable the prior evening and the parent felt
uncomfortable leaving the child to go to the store to buy more Pedialyte. The
parent reports that the family traveled out of town and returned four days
prior to the onset of the illness.
Which statements are true about gastroenteritis? (SATA)
Most people can recover on their own at home.
Young children and older adults are more
susceptible to dehydration from gastroenteritis.
Dehydration and constipation are the most common symptoms.
It is spread through the fecal oral route.
Thoroughly washing raw food is the best prevention against gastroenteritis. -
correct ans:Most people can recover on their own at home.
, Young children and older adults are more
susceptible to dehydration from gastroenteritis.
Rationale:
Most people can recover on their own. They need to let the condition run its
course. Young children, the elderly, and those who are immunocompromised
are at greater risk for requiring medical intervention.
The intestinal walls become inflamed. The viral form is the second most
common illness in the U.S. The norovirus is the main cause of viral
gastroenteritis.
Note:
Dehydration from vomiting and diarrhea is the main complication due to the
gastroenteritis. It happens more often to infants, young children, older
adults, and those who are immunocompromised.
Gastroenteritis can occur from various sources such as raw food that is not
washed properly, drinking water from contaminated sources, placing hands
in the mouth after touching surfaces contaminated with the norovirus, and
contact with contaminated individuals and/or sharing foods with them.
Vigorous hand washing using water and soap, especially after using the
bathroom, changing diapers, and before meals is the best way to prevent the
spread of infection.
The healthcare provider (HCP) recommends the client return to a regular diet
once rehydrated. Which foods should the parents be instructed to avoid
giving the client? (SATA)
