A patient with acute gastroenteritis has repeated watery stools, a weak pulse, dry mucous membranes and a blood pressure of 86/54 mmHg. Which action should the nurse take first?
Correct answer: A. Begin prescribed intravenous fluid replacement
- A. Begin prescribed intravenous fluid replacement
- B. Offer a full meal with extra dietary fibre
- C. Administer an antidiarrhoeal medicine immediately
- D. Restrict fluids until the diarrhoea settles
Explanation
The findings indicate severe dehydration with circulatory compromise, so rapid prescribed intravenous fluid replacement is the priority. Food and antidiarrhoeal drugs do not correct shock, while fluid restriction worsens the deficit.
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About Gastrointestinal and Liver Nursing
Covers nursing care for peptic ulcer disease, gastroenteritis, inflammatory bowel disease, intestinal obstruction, hepatitis, cirrhosis and portal hypertension. It includes nutrition, fluid and electrolyte management, abdominal assessment, gastrointestinal bleeding, ascites and hepatic encephalopathy, which must be distinguished from other causes of altered consciousness.
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