A child with moderate dehydration is alert but vomits after drinking a large amount of oral rehydration solution. Which instruction is most appropriate?
Correct answer: B. Give small, frequent sips and continue after brief pauses
- A. Stop all oral fluids until vomiting has ended
- B. Give small, frequent sips and continue after brief pauses
- C. Give only plain water until the diarrhoea stops
- D. Offer a concentrated solution to replace fluid faster
Explanation
Small frequent sips are better tolerated and allow continued replacement of water and electrolytes. Oral rehydration solution should not be made more concentrated, and stopping fluids increases the risk of worsening dehydration.
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Paediatric emergencies cover rapid assessment using airway, breathing and circulation, basic life support, respiratory distress, choking, shock, seizures, poisoning, burns, severe dehydration and trauma. Questions focus on recognising danger signs, prioritising immediate nursing actions, calculating weight-based treatment and distinguishing compensated from decompensated shock.
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