# Drag each caregiver statement about a toddler with acute gastroenteritis to the nurse's response category. > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=396458&lang=en > language: en > subject: Nutrition and Oral Hydration > category: BCC ## Question Drag each caregiver statement about a toddler with acute gastroenteritis to the nurse's response category. **1.** I will offer small, frequent sips of oral rehydration solution and increase slowly as tolerated Select a category Teaching needs correction Urgent medical evaluation Appropriate home hydration and feeding **2.** I will continue breastfeeding and resume age-appropriate foods after rehydration begins Select a category Teaching needs correction Urgent medical evaluation Appropriate home hydration and feeding **3.** I will replace ongoing loose-stool losses with additional oral rehydration solution Select a category Teaching needs correction Urgent medical evaluation Appropriate home hydration and feeding **4.** Sports drinks or undiluted juice are good substitutes because they contain sugar Select a category Teaching needs correction Urgent medical evaluation Appropriate home hydration and feeding **5.** I will give an over-the-counter antidiarrheal unless the diarrhea stops today Select a category Teaching needs correction Urgent medical evaluation Appropriate home hydration and feeding **6.** My child is becoming lethargic, has cool extremities, and has urinated very little Select a category Teaching needs correction Urgent medical evaluation Appropriate home hydration and feeding **7.** The stool is bloody or the vomit is green Select a category Teaching needs correction Urgent medical evaluation Appropriate home hydration and feeding **8.** My child repeatedly vomits every attempt at oral rehydration solution Select a category Teaching needs correction Urgent medical evaluation Appropriate home hydration and feeding ## Explanation Mild to moderate dehydration is treated with frequent small amounts of oral rehydration solution, replacement of ongoing stool losses, and continued breastfeeding or age-appropriate nutrition. Juice, soda, and sports drinks do not have the appropriate glucose-electrolyte balance, and nonprescribed antidiarrheal medication can be unsafe in young children. Lethargy, poor perfusion, markedly reduced urine, bloody stool, bilious vomiting, or inability to retain fluid requires prompt evaluation. ## In-depth explanation Quick answer Use small frequent ORS and continue feeding; correct high-sugar fluids and unprescribed antidiarrheals; escalate poor perfusion, minimal urine, blood, bile, or failed oral intake. Why this is correct Oral rehydration works through balanced glucose and sodium transport and should be paired with early nutrition. Concentrated sugary drinks can worsen osmotic diarrhea, while severe dehydration or a concerning diagnosis requires medical evaluation and possibly IV therapy. NCLEX decision rule Teach both the plan and the stop rules: what fluid to give, how to give it, what feeding to continue, and which changes mean home care is no longer safe.References 1CDC: Managing Acute Gastroenteritis Among Children 2CDC: Foodborne Illness and Fluid Replacement ## Clinical scenario Oral hydration at home A 20-month-old has watery diarrhea and mild dehydration but is alert and able to drink. The nurse teaches oral rehydration, continued age-appropriate nutrition, unsafe substitutions, and findings that require urgent evaluation. ## Key concepts - **Oral Rehydration Solution** — A balanced glucose-electrolyte fluid formulated to replace water and salts lost through diarrhea or vomiting. - **Ongoing Losses** — Additional fluid lost after initial rehydration, such as with each loose stool, that must be replaced. - **Bilious Emesis** — Green vomit containing bile, a concerning finding that can signal intestinal obstruction and requires urgent evaluation. ## Related questions - [A 70-year-old client recovering from a left middle cerebral artery stroke has cleared an S…](https://mymerci.kr/pages/nclex_q.php?qn_id=363211&lang=en) - [A nurse is caring for an adult client receiving central venous total parenteral nutrition …](https://mymerci.kr/pages/nclex_q.php?qn_id=366131&lang=en) - [A nurse is caring for a 79-year-old client admitted from a long-term care facility with we…](https://mymerci.kr/pages/nclex_q.php?qn_id=368305&lang=en) - [Place the actions in order when a client with an acute stroke coughs during a bedside dysp…](https://mymerci.kr/pages/nclex_q.php?qn_id=395492&lang=en) - [The nurse checks meal trays for three clients with specific nutrition prescriptions. 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Always follow current clinical guidelines and your institution’s protocols._