GI disordering flicker questions
A 4-month-old has had a fever, vomiting, and loose watery stools every few hours for 2 days. The mother calls the physician's office and asks the nurse what she should do. Which response by the nurse is most appropriate?
"Bring the child to the office today so we can evaluate her fluid balance and determine the best treatment."
A 4-month old is brought to the ER with severe dehydration. The heart rate is 198 and BP 68/38. The anterior fontanel is sunken. The nurse notices the infant doesn't cry when she places the IV site. The parent states "she has not held anything down for 18 hours". The nurse would anticipate to do what intervention immediately?
Administer a bolus of normal saline. Dehydration should be corrected with an isotonic solution, such as NS or LR
A GI disorder seems in infants that causes predictable periods of significant abdominal pain/crying in an otherwise healthy, well fed infant that typically last 3 hours and for at least 3 days is?
Colic
The pediatrician suspects that a child has pinworms and instructs the nurse to assess the child for their presence. What is the most reliable method of assessing pinworms?
Eggs retrieved from the anal edge on a piece of cellophane tape
What children are at greatest risk for rotavirus?
Infants/children in childcare setting
Lead poisoning occurs most often from
Lead in paint homes built before 1978 and lead in paint from toys from foreign countries
A mother calls the doctor's office and tells the nurse that she is concerned because her 4-month-old keeps "spitting up" with every feeding. Which of the following would indicate that the child is regurgitating as opposed to vomiting? a) Is curdled and extremely sour smelling b) Continues until stomach is empty c) Is projected 1 ft away from infant d) Only occurs with feeding
Only occurs with feeding
The parents of a 5-year old states that the child has been having diarrhea for 24h and has vomited twice 2 h ago, and is now complaining of thirst. The parent ask what to give the child who is refusing Pedialyte.
Pedialyte is really the best thing for your child. Try to offer a choice of taking the Pedialyte from a spoon, medicine cup, or oral syringe
The nurse is administering Prilosec (omeprazole) to a 3mo with GER. The child's parents ask the nurse how the medication works. The nurses best response is:
Prilosec decreases stomach acid so it will not be as irritating when your child spits up.
A family has recently moved into the area and is bringing their 18-month-old son in to the office for his first visit. The father is in dusty work clothes and explains that they are in the process of restoring the house they recently moved into, which was built in the 1920s and which had been vacant for many years. The nurse urges the father to have a blood test done on the son. Which of the following is the best rationale for this intervention? a) Risk for developing tetanus due to all of the construction going on b) Risk for ingestion of cleaning products they may have been left out due to the renovation c) Risk for lead paint poisoning due to the age of the house d) Risk for development of diabetes due to all of the high-calorie fast foods the family is consuming while their kitchen is under construction
Risk for lead paint poisoning due to the age of the house
Giardiasis is a parasitic infection that causes?
Watery, foul smelling stool
