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    Nclex-Rn Readiness Test 2Question 50
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    Child Health

    1400: 10-year-old female reports persistent nausea, vomiting, and diarrhea for two days. Her parents report that she has been unable to sustain any food or water without vomiting. Upon assessment, the client was alert and completely oriented. Her eyes appeared to be sunken in and had thready peripheral pulses. Lung sounds were clear. Hyperactive bowel sounds. She reports nausea and thirst. She has no medical history and has no known allergies.

    1530: The client reports ‘feeling better’ after infusion and medications. Physician orders discharge home. Discontinued peripheral vascular access. Discharge teaching provided.

    • Establish peripheral vascular access
    • 500 mL of 0.9% saline over one-hour
    • Ondansetron 4 mg intravenous push

    Oral Temperature 99° F (37.2° C)

    Pulse 103/minute

    Respirations 16/minute

    Blood pressure 110/65 mm Hg

    Oxygen saturation 96% on room air

    The nurse provides discharge teaching to the client's parents

    ➢ Which food choices should the nurse encourage to promote hydration? Select all that apply

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