Difficulty: Medium
Average Score: 65%
Simulated
A nurse is planning care for a child who has severe diarrhea. Which of the following actions is the nurse's priority?
Correct answer
C
Rationale
The correct answer is C: Rehydrate. In severe diarrhea, the priority is to address fluid and electrolyte loss to prevent dehydration and electrolyte imbalance. Rehydration helps restore normal fluid balance and prevent complications like hypovolemic shock. It is essential to replenish lost fluids promptly to maintain the child's overall health. Introducing a regular diet (A) should only occur after rehydration, as the gut needs time to heal. Maintaining fluid therapy (B) and assessing fluid balance (D) are important, but rehydrating takes precedence in this acute situation.