# A 28-year-old client has had vomiting and watery diarrhea for 36 hours. The client is alert, mucous membranes are moist, and skin turgor is normal. Vital signs: temperature 37.2°C (99°F), heart rate 88/min, blood pressure 118/74 mm Hg. The client reports feeling thirsty but can drink small sips without vomiting. Which __0__ should the nurse take __1__?

> source: MyMerci (mymerci.kr)  
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> language: en  
> subject: Basic Care and Comfort  
> category: BCC

## Question

A 28-year-old client has had vomiting and watery diarrhea for 36 hours. The client is alert, mucous membranes are moist, and skin turgor is normal. Vital signs: temperature 37.2°C (99°F), heart rate 88/min, blood pressure 118/74 mm Hg. The client reports feeling thirsty but can drink small sips without vomiting. Which __0__ should the nurse take __1__?

A 28-year-old client has had vomiting and watery diarrhea for 36 hours. The client is alert, mucous membranes are moist, and skin turgor is normal. Vital signs: temperature 37.2°C (99°F), heart rate 88/min, blood pressure 118/74 mm Hg. The client reports feeling thirsty but can drink small sips without vomiting. Which ::선택::actionassessmentmedicationintervention should the nurse take ::선택::encourage oral rehydration solution in small, frequent sipsinitiate intravenous 0.9% sodium chloride at 100 mL/houradminister ondansetron 4 mg orally as prescribedobtain a stat basic metabolic panel?

## Explanation

The client is hemodynamically stable with moist mucous membranes and normal skin turgor, indicating mild dehydration that can be managed with oral rehydration. Encouraging small, frequent sips of an oral rehydration solution is appropriate because the client can drink safely without vomiting. Initiating IV fluids is unnecessary and overly invasive for mild dehydration. Administering an antiemetic is not indicated without a prescription and does not address fluid loss. Obtaining a stat basic metabolic panel is premature before attempting oral rehydration in a stable client.

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