Gastroenteritis and Dehydration 2026 |
Questions, Answers & Detailed Rationales
Which of the following types of isolation precautions should Susan implement? -
ANS✔✔-Contact
Nurse Mary gave a report to Nurse Susan; SBAR format: - ANS✔✔-S: 4 yo male pt,
with his mom, admitted for dehydration
B: The pt has had diarrhea for 2 days. Has poor appetite and only had sips of fluid for
more than 1 day. He is crying and reports abd pain. He attends day care full time and is
potty trained but is wearing diaper briefs because of diarrhea.
A: Elevated temp of 38 degrees C, HR 120 bpm, RR 30 breaths/min. He has clear
lungs, no murmurs, hyperactive bowel sounds. He is crying and has pain level of 3
using the FACES scale.
R: Admitting prescriptions for the hospital are in the computer.
Which of the following is the priority action based on the assessment? - ANS✔✔-Initiate
IV access
Appropriate supplies to insert an IV cath for saline lock? - ANS✔✔-Image B
IV flow rate - ANS✔✔-133 mL/hr
Correct documentation of I&O - ANS✔✔-Image D
Based on lab findings and assessment, which is the priority action? - ANS✔✔-Obtain rx
for potassium.
Correct technique for administering IV KCl? - ANS✔✔-Administer an intermittent IV
bolus of 5 mEq KCl in 100 mL 0.9% NaCl over 1 hr.
Teaching the mom about using clotrimazole cream to tx diaper rash, should include? -
ANS✔✔-Dry skin thoroughly before applying the medication
Age appropriate toys (SATA) - ANS✔✔-Crayons, army guys, blocks, tractor
Which of the following statements is a therapeutic response? - ANS✔✔-"There are
many resources available to you while you are here. We can discuss them if you like."
Nurse Susan is preparing to administer promethazine (Phenergan), available is 25
mg/mL. - ANS✔✔-0.28 mL, image B
Which of the following is the appropriate site for the IM injection? - ANS✔✔-Vastus
lateralis
Nurse review prelim stool culture findings and is preparing to explain the results to the
mom. - ANS✔✔-Matthew's diarrhea will subside in 1 week.
DC instructions should include - ANS✔✔-Matthew should incorporate oral rehydration
with a regular diet.