Which prescription related to a child with diarrhea from a Salmonella infection should the nurse question?

In cases of diarrhea caused by a Salmonella infection, the administration of bismuth subsalicylate (Kaopectate) is not appropriate. Salmonella infections typically result in self-limiting diarrhea, and the use of antidiarrheal medications like bismuth subsalicylate can prolong the infection or lead to complications. Antidiarrheal agents can slow down the elimination of the infectious organism from the gastrointestinal tract, potentially worsening the child’s condition or increasing the risk of serious complications, such as dehydration or even septic complications.

On the other hand, stool for occult blood is a common diagnostic tool that aids in determining the extent of intestinal involvement and potential complications. Oral rehydration therapy is crucial for managing diarrhea, especially to prevent dehydration, as it replaces lost fluids and electrolytes. Acetaminophen is appropriate for managing fever in a child with a Salmonella infection, providing symptom relief without impacting the underlying illness. Each of these options serves a significant purpose in managing the pediatric patient with diarrhea, but the use of bismuth subsalicylate contradicts the best practices for treating diarrhea caused by infectious pathogens like Salmonella.