A 2-year-old with gastroenteritis has moderate dehydration and can drink. Oral rehydration therapy is prescribed. For each group, select all responses that apply.
Multiple Response Grouping
Choose your responses, then check the answer.
Explanation
Give oral rehydration solution in small, frequent amounts; a spoon or oral syringe can improve tolerance. Do not wait for thirst or substitute a high-sugar drink for a balanced oral rehydration solution. Follow response with serial weight and urine-output assessment. A fixed two-hour glucose schedule is not indicated without a glucose concern, and no single physical sign should be used alone to judge hydration.
Give oral rehydration solution in small, frequent amounts; a spoon or oral syringe can improve tolerance. Do not wait for thirst or substitute a high-sugar drink for a balanced oral rehydration solution. Follow response with serial weight and urine-output assessment. A fixed two-hour glucose schedule is not indicated without a glucose concern, and no single physical sign should be used alone to judge hydration.
Key cues
Use only the findings, timing, and orders stated in the scenario.
Clinical reasoning
Apply the requested nursing decision to this client rather than relying on a broad disease label.
Why the alternatives do not fit
The remaining responses are contradicted by the scenario, mistimed, outside scope, or unsafe.
Priority and safety
Address immediate threats first and reassess after intervention.
Takeaway
Choose only actions supported at this exact point in care.
Sources
Open RN Nursing Skills 2e
A 2-year-old with gastroenteritis has moderate dehydration and can drink. Oral rehydration therapy is prescribed. For each group, select all responses that apply.
oral rehydration therapy — oral rehydration therapy is a key clinical concept for assessing and managing pediatric dehydration.
moderate dehydration — moderate dehydration is a key clinical concept for assessing and managing pediatric dehydration.
acute gastroenteritis — acute gastroenteritis is a key clinical concept for assessing and managing pediatric dehydration.