The nurse is assigned to a 4-month-old infant with vomiting and diarrhea who is brought to the pediatric clinic.The infant's vital signs are temperature: 37° C,apical HR: 130,R: 40/min.The abdominal assessment reveals a soft,concave abdomen,10 gurgles auscultated in 1 minute in all four quadrants,and tympani to percussion.Which collaborative care action does the nurse anticipate?
A) Check the surgical call schedule and reserve an operating suite.
B) Place the infant NPO for a barium swallow.
C) Prepare a milk-based infant formula to replace fluids.
D) Complete a thorough digestion assessment interview with the mother.

Question

Quizplus · Accepted Answer

A) The assessment data for this pediatric client indicates a non-emergent alteration in digestion that requires additional interview information from the mother. Nothing in the assessment indicates a surgical emergency. A barium swallow is not indicated for diarrhea. Milk-based formulas would be avoided until symptoms subside.
B) The assessment data for this pediatric client indicates a non-emergent alteration in digestion that requires additional interview information from the mother. Nothing in the assessment indicates a surgical emergency. A barium swallow is not indicated for diarrhea. Milk-based formulas would be avoided until symptoms subside.
C) The assessment data for this pediatric client indicates a non-emergent alteration in digestion that requires additional interview information from the mother. Nothing in the assessment indicates a surgical emergency. A barium swallow is not indicated for diarrhea. Milk-based formulas would be avoided until symptoms subside.
D) The assessment data for this pediatric client indicates a non-emergent alteration in digestion that requires additional interview information from the mother. Nothing in the assessment indicates a surgical emergency. A barium swallow is not indicated for diarrhea. Milk-based formulas would be avoided until symptoms subside.

The Nurse Is Assigned to a 4-Month-Old Infant with Vomiting