Question

A nurse is providing discharge teaching to the parent of an 18-month-old toddler who has dehydration due to acute diarrhea. Which of the following statements by the parent indicates an understanding of the teaching?

A. "I'll give the toddler small sips of water frequently."
B. "I'll only offer solid foods until the diarrhea resolves."
C. "I'll avoid any oral rehydration solutions to prevent further dehydration."
D. "I'll continue the toddler's regular diet without any changes."

Answer 1

A parent should not continue a toddler's regular diet without changes if the toddler is recovering from dehydration due to acute diarrhea. The diet should be modified to include oral electrolyte solutions and potentially the BRAT diet to ensure proper hydration and electrolyte balance.

Step-by-step explanation:

The statement "I'll continue the toddler's regular diet without any changes." by the parent, after being provided discharge teaching for an 18-month-old toddler with dehydration due to acute diarrhea, does not reflect an understanding of the necessary dietary considerations. When a child experiences dehydration and diarrhea, oral electrolyte maintenance solutions should be administered to prevent further dehydration and support recovery. These solutions have been essential in protecting child health, particularly during episodes of acute diarrhea, where they help to maintain proper electrolyte balance and hydration levels.

For a child recovering from dehydration due to acute diarrhea, it is recommended to gradually reintroduce the regular diet while being mindful of foods that may exacerbate symptoms. In some cases, mild, easily digestible foods such as bananas, rice, applesauce, and toast, known as the BRAT diet, can be suitable during the initial recovery period. The parent should monitor the child's tolerance to food and fluid intake, ensuring that rehydration is ongoing with suitable oral electrolyte solutions.