Gastro - Peds

The school nurse is working with a 10-year-old girl with recurrent abdominal pain. The girl's teacher has been less than understanding about the frequent absences and trips to the nurse's office. How should the nurse respond? A. "The pain she is having is real." B. "Please do not add to this family's stress." C. "Be patient; she is trying some new medication." D. "The family is working toward improvement."

A. "The pain she is having is real."

The parents of a child diagnosed with celiac disease ask the nurse what types of food they can offer their child. What recommendation would the nurse include in the teaching plan? A. Fruit juice B. Creamed spinach C. Rye bread D. Frozen yogurt

A. Fruit juice

The nurse is taking a health history of an 11-year-old girl with recurrent abdominal pain. Which response would lead the nurse to suspect irritable bowel syndrome? A. "The pain comes and goes." B. "I always feel better after I have a bowel movement." C. "I don't take any medicine right now." D. "The pain doesn't wake me up in the middle of the night."

B. "I always feel better after I have a bowel movement."

After teaching the parents of a child diagnosed with celiac disease about nutrition, the nurse determines that the teaching was effective when the parents identify which foods as appropriate for their child? Multiple response item A. Wheat germ B. Jelly C. Peanut butter D. Flavored yogurt E. Shellfish F. Carbonated drinks

B. Jelly C. Peanut butter E. Shellfish F. Carbonated drinks

The nurse has developed a plan of care for a 12-month-old hospitalized with dehydration as a result of rotavirus. Which intervention would the nurse include in the plan of care? A. Encouraging milk products to boost caloric intake B. Maintaining the intravenous (IV) fluid rate as ordered C. Encouraging consumption of fruit juice D. Offering Kool-Aid or popsicles as tolerated

B. Maintaining the intravenous (IV) fluid rate as ordered

An 8-month-old infant is brought to the clinic for evaluation. The mother tells the nurse that she has noticed some white patches on the infant's tongue that look like curdled milk after breastfeeding. The nurse suspects oral candidiasis (thrush). Which question would the nurse use to help confirm this suspicion? A. "Is he experiencing any vomiting lately?" B. "Has he had any dairy problems recently?" C. "Are you having breast pain when you nurse the baby?" D. "How have his stools been this past week?"

C. "Are you having breast pain when you nurse the baby?"

A group of students are reviewing information about fluid balance and losses in children in comparison to adults. The students demonstrate a need for additional review when they state that: A. children have a proportionately greater amount of body water than do adults. B. fever plays a greater role in insensible fluid losses in infants and children. C. a higher metabolic rate plays a major role in increased insensible fluid losses. D. the infant's immature kidneys have a tendency to overconcentrate urine.

D. the infant's immature kidneys have a tendency to overconcentrate urine.

The nurse is caring for a 3-year-old girl with short bowel syndrome as a result of trauma to the small intestine. The girl's mother is extremely anxious and tells the nurse she is afraid she will never learn how to care for her daughter at home. How should the nurse respond? A. "There is a lot to learn and you need a positive attitude." B. "You must learn how to care for your daughter at home." C. "You really need the support of your husband." D. "I will help you become an expert on your daughter's care."

D. "I will help you become an expert on your daughter's care.

The mother of a 3-week-old infant old brings her daughter in for an evaluation. During the visit, the mother tells the nurse that her baby is spitting up after feedings. Which response by the nurse would be most appropriate? A. "Don't worry; you're just feeding her too much." B. "We need to tell the doctor about this." C. "Your daughter might have an allergy." D. "Infants this age commonly spit up."

D. "Infants this age commonly spit up."

Which finding would lead the nurse to suspect that a child is experiencing moderate dehydration? Answers: A. Sunken fontanels B. Dusky extremities C. Hypotension D. Tenting of skin

Selected Answer: A. Sunken fontanels