meds & ped ch 45
The nurse is advising a group of new parents on how to care for their infant at home if the baby develops mild diarrhea. Which statement indicates that teaching has been effective?
"I should offer Pedialyte after 1 hour and frequently thereafter to prevent dehydration."
The nurse is instructing new parents on caring for their infant ifgastroenteritis symptoms should occur. Which parental statement indicates understanding of appropriate care?
"I should take the baby's temperature and call my health care provider."
The nurse suspects that an infant is experiencing intussusception. What did the nurseassess in this infant? Select all that apply.
- crying as if in severe pain - sudden drawing up of the legs - stool that looks like currant jelly - leg drawing up, and the infant's crying repeats every 15 minutes
The mother of a 3-month-old infant is distraught because the child vomits after every feeding. After an assessment, the nurse determines that the infant is experiencing regurgitation and not vomiting. What did the nurse assess in the infant? Select all that apply.
- slight sour smell - occurs after a feeding - runs out of the mouth with no force
When providing diaper care to an infant after pyloric stenosis surgery, which approach is indicated?
Diapers should be folded so that the incision line does not become contaminated.
A preschooler has celiac disease. The parent is preparing a gluten-free diet. The nurse knows that the parent understands the diet when the parent prepares which breakfast foods?
Eggs and orange juice
A school-aged child with Crohn disease will receive enteral nutrition for the next 6 weeks. What parental teaching is needed to support this child's needs?
Encourage the child to be with the family during meals.
A 2-month-old infant experiencing severe diarrhea is prescribed intravenous fluid replacement. Before adding potassium to this solution, which assessment should the nurse make?
Ensure that the child is voiding.
A 1-month-old infant is diagnosed with gastroesophageal reflux. Which intervention should the nurse teach the mother to help with the symptoms of this disorder?
Feed with formula thickened with rice cereal.
A 14-year-old child is brought into the emergency room with manifestations consistent with a ruptured appendix. What is the first action that the nurse should take in the care of this child?
Place in the semi-Fowler position.
A school-aged girl with Crohn disease will receive total parenteral nutrition (TPN) for the next 6 weeks. Which would best help her accept the treatment plan?
Provide some time to talk to her several times a day.
The nurse is working with a school district to ensure students do not develop food-borne illnesses. Which intervention should the nurse emphasize that supports the 2030 National Health Goals regarding food preparation?
Refrigerate foods promptly.
The nurse is caring for an infant recovering from surgery for pyloric stenosis. Which nursing diagnosis should the nurse use to guide care during the immediate postoperative period?
Risk for infection of incision line, related to disruption of skin barrier during surgery
An adolescent has hepatitis B. What would be the most important nursing action?
Strict enforcement of standard precautions
An adolescent is diagnosed with hepatitis A. Which problem should be considered when planning care?
The adolescent will become fatigued easily.
Which assessment finding would suggest that a child's postoperative feeding schedule following pyloric stenosis surgery should be slowed?
Vomiting
A 6-week-old infant is diagnosed with pyloric stenosis. When taking a health history from the parent, which symptom would the nurse expect to hear described?
Vomiting immediately after feeding
Which assessment findings suggest that an infant with diarrhea is severely dehydrated?
elevated hematocrit and depressed eye globes
The nurse is caring for a 12-year-old child with Crohn disease. What assessment finding will the nurse report to the health care provider when caring for the child?
fever
The nurse is caring for a 3-year-old with repeated diarrhea. The client is listless and clings to the parent. The nurse reviews the lab work, which reports a pH- 7.33, HCO3- 21, PaCO2- 42. Which would be documented?
metabolic acidosis
A preschool-age child has been experiencing severe vomiting for over 24 hours. The child's respiratory rate is currently 10 breaths/min. On which health problem will the nurse focus when caring for this child?
metabolic alkalosis
Following surgery for pyloric stenosis, an infant should be burped well following feedings primarily to prevent:
pressure on the incision line.
The nurse is demonstrating to the parent how to feed her neonate following pyloromyotomy. Which position is best?
right side
A 3-month-old is admitted with severe diarrhea. Yesterday, the infant weighed 11 pounds (5 kg). Today, this infant weighs 9 pounds, 8 ounces (4.3 kg). Based on this information the nurse documents that the infant has:
severe dehydration.
. During the assessment of a preschooler, the nurse notes that the child has abnormal dryness and thickening of the conjunctiva and dry and scaly skin. Which vitamin deficiency does the nurse suspect this child is experiencing?
vitamin A
