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Quiz 3 DIARRHOEA QUESTIONS

Gift, a 21-month-old boy, presents with diarrhea for two days but shows no severe danger signs or visible dehydration. He is alert, responsive, and able to drink, with a normal temperature and skin elasticity. Management includes oral rehydration, monitoring hydration status, and providing home care advice regarding fluids and medication.

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Palesa Lebenya
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8 views3 pages

Quiz 3 DIARRHOEA QUESTIONS

Gift, a 21-month-old boy, presents with diarrhea for two days but shows no severe danger signs or visible dehydration. He is alert, responsive, and able to drink, with a normal temperature and skin elasticity. Management includes oral rehydration, monitoring hydration status, and providing home care advice regarding fluids and medication.

Uploaded by

Palesa Lebenya
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Quiz 3: A child with loose stool

Gift , a 21-month-old boy, has been brought to the primary health care clinic by his mother. She
complains that he has had diarrhoea for two days. There is no blood in the stools. He is able to
drink, is not vomiting and has not had any convulsions. The skin went back slowly on
assessment. Gift was weaned off breastmilk at 13 months of age. She drinks eagerly when a
nurse gives something to drink.
Gift weighs 14 kg and has a temperature of 37°C. He is alert and responsive.

1. Based on the history provided, does Gift have any general danger signs?
a) Yes
b) No

2. How would you classify Gift’s hydration status?

a) Severe dehydration
b) Some dehydration
c) No visible dehydration

3. How would you classify Gift’s diarrhoea?


a) Diarrhoea with severe dehydration
b) Diarrhoea with some dehydration
c) Diarrhoea with no visible dehydration

4. Does Gift have persistent diarrhoea?


a) Yes
b) No
5. Does Gift have dysentery?
a) Yes
b) No

6. How long will Gift need to stay at the clinic

a) 1 hour
b) 2 hours
c) 4 hours
d) 8 hours

7. Gift thirstily drinks his first cup of oral rehydration solution. However, he vomits after
drinking his second cup. How should this be managed?
a) Continue offering oral rehydration solution as initially prescribed
b) Wait for 10 minutes, then continue oral rehydration solution but more slowly
(sips)
c) Wait for one hour, then restart oral rehydration solution
d) Stop giving fluid orally, and insert a nasogastric tube
e) Stop giving fluid orally, and insert an intravenous line (drip)

8. Gift tolerates the remaining fluid given to him and finishes the 1 100 mL within 4 hours.
His skin pinch now goes back normally. What should happen now?
a) He should be given another 200 mL of fluid over the next hour
b) He can go home now
c) He should be offered a feed before going home.

9. What advice will you offer Gift’s mother regarding fluids at home?
(Mark all that are correct)

a) Offer sugar and salt solution or oral rehydration solution (Sorol) if


the child wants it
b) Continue giving extra fluid until the diarrhoea stops.
c) Offer 100 ml of fluid after each loose stool.

10. What advice will you offer Gift’s mother regarding fluids at home? (Mark all that are
correct)
a) Offer sugar and salt solution or oral rehydration solution (Sorol) if the child wants it
b) Continue giving extra fluid until the diarrhoea stops.
c) Offer 100 ml of fluid after each loose stool.

11. What advice will you offer Gift’s mother regarding medication
to be given at home? (Mark all that are correct)
a) Give 10 mg of zinc for 10 days
b) Give 20 mg of zinc for 14 days
c) Give a multivitamin syrup

12. When should Gift return to the clinic?


a) In 2 days
b) In 2 days, if his diarrhoea continues
c) In 5 days
d) In 5 days, if his diarrhoea continues

13. Gift’s mother should bring him back to the clinic immediately if
he is: (select all correct)
a) Drinking poorly
b) Vomiting everything
c) Breathing fast
d) Wheezing
e) Passing blood in the stool

“You don’t need to be great to start but you have to start to


be great”

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