PEDS Chapter 25: Child w/ Gastrointestinal Dysfunction

22. The nurse is caring for an infant with suspected pyloric stenosis . Which clinical manifestations would indicate pyloric stenosis ? Select All .

-Non - bilious vomiting and weight loss -Projectile vomiting -Olive shaped mass above umbilicus umbilicus

119. The nurse is assessing an infant with intussusception . Which of the following clinical findings should the nurse expect ? Select all .

-Palpable sausage shaped abdominal mass -Vomiting -Stool mixed with blood and mucous

The nurse provides feeding instructions to a parent of an infant diagnosed with gastro - esophageal reflux ( GER ) . Which instruction should the nurse give the parent to assist in reducing the episodes of emesis ? ( Select all that apply )

-Provide smaller more frequent meals -Thicken the feedings by adding rice cereal to the formula -Burp the infant frequently during feeding

58. A 5 y.o male diagnosed with mild dehydration should be given Oral Rehydration Solution ( ORS ) by the nurse or parent with which of the following rehydration therapy ?

50 ml / kg / 4 hrs

The health care provider has prescribed famotidine ( Pepcid ) 1mg / kg / day divided BID for a child with gastroesophageal reflux disease , child weights 33lb . The nurse is preparing to administer the 0900 dose . Calculate the dose the nurse should administer in milligrams .

7.5

72. A 6 - month - old infant with Hirschsprung disease is scheduled for a temporary colostomy . What should postoperative teaching to the parents include ?

Assessing bowel function .

The mother of a child is hepatitis B surface antigen ( HBsAg ) negative , when would receive his or her first dose of the hepatitis B virus ( HBV ) vaccine ?

Birth before discharge from the hospital .

94. A 2 - year - old child has a chronic history of constipation and is brought to the clinic for evaluation . What should the therapeutic plan initially include ?

Bowel cleansing .

A 7 - year - old child has ingested a toxic dose of iron . The parent reports that the child vomited and had gastric pain an hour ago but " feels fine " now . The parent is not sure when the child ingested the iron tablets . What is the appropriate recommendation by the nurse ?

Bring the child to the hospital immediately .

The nurse is explaining to a parent how to care for a child with vomiting associated with a viral illness . What would the nurse include ?

Brush teeth or rinse mouth after vomiting .

6. The nurse reviews the record of a newborn infant and notes that a diagnosis of esophageal atresia with tracheoesophageal fistula is suspected . The nurse expects to note which MOST LIKELY sign of this condition documented in the record ?

Choking with feedings

What type of diarrhea is commonly seen in malabsorption syndromes because the intestine cannot absorb nutrients or electrolytes ?

Chronic

What is a common significant side effect from opioid administration ?

Constipation

41. A school age child with acute diarrhea and mild dehydration is given oral rehydration solution ( ORS ) . The child's mother calls the clinic nurse because he is also occasionally vomiting . The nurse following

Continue to give ORS frequently in small amounts.

75. The nurse is assisting a child with celiac disease to select foods from a menu What foods should the nurse suggest ?

Corn on the cob with butter

56. A - 2 y.o is hospitalized with suspected intussusception . Which finding is associated with intussusception ?

Currant jelly stools

39. A 2 y.o child has simple constipation and is brought to the clinic for evaluation . The therapeutic plan initially includes :

Dietary modification

The nurse assesses a neonate after spitting up the first feeding and having a coughing episode during the feeding . What assessment finding would indicate possibility of esophageal atresia or tracheoesophageal fistula ?

Excessive amount of frothy saliva in the mouth

83. A pediatric nurse admits a 5 - year - old with Hepatitis A. Which of the following clinical manifestation ?

Fecal oral transmission

106. A pediatric nurse assesses a newborn with symptoms of failure to pass meconium within 48 hrs after birth . Which of the following diseases will be suspected in this newborn ?

Hirschsprung

123. A 3 - day - old infant presents with abdominal distention , is vomiting , and has not passed any meconium stools . What disease should the nurse expect ?

Hirschsprung disease .

What information should the nurse include when with teaching an adolescent with inflammatory Bowel is disease ( IBD ) ?

How to cope with stress and adjust to chronic illness

19. A toddler with symptoms of sudden inconsolable screaming or crying , drawing up of the knees to the chest , vomiting , and a tender distended abdomen will probably be diagnosed with which of the following diseases ?

Intussusception

25. The nurse is caring for an 18 month with rotavirus . Which of the following clinical manifestations would the nurse expect to observe ?

Mild fever and vomiting followed by onset of watery stools

A school - age child with cystic fibrosis takes four enzyme capsules with meals . The child is having one to two bowel movements per day . The nurse action in regard to the pancreatic enzyme is based on the knowledge that the dosage is what ?

Needs to be increased to decrease the number of bowel movements per day

110. The nurse is preparing to admit a 7 - year - old child with Crohn disease . What clinical manifestations should the nurse expect to observe ?

Pain is common , diarrhea is moderate to severe , weight loss is severe

34. A school age child with celiac disease asks for guidance about snacks that will not exacerbate the disease . What snack should the nurse suggest ?

Popcorn

2. An infant was assessed in peds clinic with the following symptoms: visible peristalsis, failure to thrive, an infant who is 'always hungry', dehydration. What is the likely diagnosis

Pyloric Stenosis

46. Of the following diagnosis , which would the nurse identify as a priority for the infant with tracheoesophageal fistula ( TEF ) ?

Risk of injury related to increased potential for aspiration

73. A 6 - month - old infant with Hirschsprung disease is scheduled for a temporary colostomy . What should postoperative teaching to the parents include ?

Skin and stoma care .

What genetic term refers to a recognized pattern of malformations with a single specific cause ?

Syndrome

82. The nurse is discussing home care with a mother whose 6 - year - old child has hepatitis A. What information should the nurse include ?

Teach infection control measures to family members . ( Hepatitis A can be transmitted through the fecal -oral route )

36. After a pyloromyotomy , a week old infant is prescribed feedings of 1 to 2 oz of Pedialyte q 3 hrs then advance to breastmilk ad tolerated postoperatively . The nurse should advance the feeding if which occurs ?

The infant is taking the Pedialyte without vomiting or distention

103. The pediatric nurse is preparing to admit a 5 year - old child with hepatitis A. Which of the following is a clinical feature of hepatitis A nurses normally recognize ?

The mode of transmission primarily by the fecal oral route .

45. Which of the following parameters would the nurse monitor to evaluate the initial effectiveness of thickened feedings for an infant with gastroesophageal reflux ( GERD ) ?

Vomiting

104. An 11 - year - old girl with celiac disease was discharged from the hospital . An appropriate teaching was carried out by the nurse if the parents are aware of avoiding which of the following ?

Wheat

74. Which of the following pharmacology therapy is used to treat infants and children with Gastroesophageal Reflux Disease ( GERD ) ?

Zantac ( Ranitidine ) Pepcid ( Famotidine ) , Tagamet ( cimetidine )