Saunders GI

An ED nurse is performing an assessment on a child with a suspected dx of intussusception. Which assessment question for the parents will elicit the most specific data r/t this disorder

Can you describe the type of pain that the child is experiencing

the parents of a newborn with a cleft lip are concerned and ask the nurse when the lip will be prepared. With which statement should the nurse respond

Cleft lip is usually performed during the first months of life

A mother brings her 5 week old infant to the health care clinic and tells the nurse that the child has been vomiting after meals. The mother reports that the vomiting is becoming more frequent and forceful. The nurse suspects pyloric stenosis and asks the mother which assessment question to elicit data specific to this condition

Does the vomit contain sour, undigested food without bile and is the infant constipated

The nurse is providing instructions to the parents of a child with a hernia regarding measures that promote reducing the hernia. The nurse determines that the parents understand care for their child if they make which statement

We will provide comfort measures to reduce any crying periods by our child

The nurse is providing d/c instructions to the mother of a child who had a cleft palate repair. Which statement should the nurse make to the mother

You need to use an orthodontic nipple on the child's bottle

A 3 year old child is seen in the health care clinic, and a dx of encopresis is made. The nurse expects to provide teaching about which client problem

odor

The nurse is assisting the pediatrician in performing an assessment on a newborn suspected of having imperforate anus. Which finding would be noted in this disorde

presence of an anal membrane

The nurse admits a child to the hospital with a dx of pyloric stenosis. On assessment, which data would the nurse expect to obtain when asking the parent about the child's symptoms

projectile vomiting

The nurse is developing a plan of care for an infant after surgical intervention for imperforate anus. The nurse should include in the plan that which position is the most appropriate one for the infant in the postop period

prone position

The nurse provides home care instructions to the parents of a child with celiac disease. The nurse should teach the parents to include which food item in the child's diet

rice

an infant born with an imperforate anus returns from surgery after requiring a colostomy. The nurse assesses the stoma and notes that it is red and edematous. Based on this finding, which action should the nurse take

the nail beds

The nurse is assigned to care for a child who is scheduled for an appendectomy. Select the rx's that the nurse anticipates will be rx'd SATA a) Initiate an IV b) Maintain an NPO status c) Administer a fleet enema d) Administer IV abx e) Administer pre op meds f) Place a heating pad on the abdomen to decrease pain

a, b, d, e

Which interventions should the nurse include when creating a care plan for a child with hepatitis SATA a) Providing a low-fat, well-balanced diet b) Teaching the child effective hand-washing techniques c) Scheduling playtime in the playroom with other children d) Notifying the HCP if jaundice is present e) Instructing the parents to avoid administering meds unless prescribed f) Arranging for indefinite home school because the child will not be able to return to school

a, b, e

Parents bring their child to the ED and tell the nurse that the child has been complaining of colicky abdominal pain located in the RLQ. the nurse suspects that the child has which disorder

appenditicits

A home care nurse instructs the mother of a 5 year old child with lactose intolerance about dietary measures for her child. The nurse should tell the mother that it is necessary to provide which dietary supplement in the child's diet

calcium

An infant born with an imperforate anus returns from surgery after requiring a colostomy. The nurse assesses the stoma and notes that it is red and edematous. Based on this finding, which action should the nurse take

document the findings

The clinic nurse reviewed the record of an infant and notes that the HCP has documented a dx of suspected Hirschsprung's Disease. The nurse reviews the assessment findings documented in the record, knowing that which sign most likely led the mother to seek health care for the infant

foul-smelling ribbon like stools

The nurse has been assigned to care for a neonate just delivered who has gastroschisis. Which concern should the nurse address in the client's plan of care

infection

An infant has just returned to the nursing unit after surgical repair of a cleft lip on the right side. The nurse should place the infant in which best position at this time

left lateral position

A child is hospitalized b/c of persistent vomiting. The nurse should monitor the child closely for which problem

met alkalosis

The nurse is reviewing the lab results for an infant with suspected hypertrophic pyloric stenosis. What should the nurse expect to note as the most likely finding in this infant

metabolic alkalosis

The nurse reviews the record of a newborn infant and notes that a dx 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

The nurse is preparing an infant for surgery to treat Hirschsprung's disease. Which assessment finding is priority to identify and treat

Decreased BP and tachycardia

The nurse is caring for a newborn with a suspected diagnosis of imperforate anus. The nurse monitors the infant, knowing that which is a clinical manifestation associated with this disorder

Failure to pass meconium stool in the first 24 hours after birth

The nurse is writing out d/c instructions for the parents of a child diagnosed with celiac disease. The nurse should focus primarily on which aspect of care

Following a gluten free diet

The nurse provides home care instructions to the mother of a child who had a cleft palate repair 4 days ago. Which statement by the mother indicates the need for further instruction

I need to buy some straws for drinking

A preschooler with a hx of cleft palate repair comes to the clinic for a routine well child checkup. To determine if this child is experiencing a long term effect of cleft palate, which question should the nurse ask

Is the child unresponsive when given directions

A 1 year old child is diagnosed with intussusception and the mother of the child asks the student nurse to describe the disorder. Which statement by the nurse indicates correct understanding of this disorder

It is a condition in which a proximal segment of the bowel prolapse into a distal segment of the bowel

A mother brings her child to the well-child clinic and expresses her concern because the child has been playing around with another child diagnosed with hepatitis. The nurse prepares to perform an assessment on the child, knowing that which finding would be of least concern for hepatitis

LUQ pain

The mother of an 18 month old child tells the clinic nurse that the child has been having some mild diarrhea and describes her child's stools as "mushy". The mother tells the nurse that the child is tolerating fluids and solid foods. The most appropriate suggestion regarding the child's diet would be to give the child which items

Mashed potatoes with baked chicken

The clinic nurse is obtaining data about a child with a dx of lactose intolerance. Which data should the nurse expect to obtain on assessment

Reports of forty stools and diarrhea

The nurse is caring for a 1 year old child after cleft palate repair. On completion of feeding the nurse should plan for which appropriate nursing action

Rinsing the mouth with water

A child is diagnosed with Hirschsprung's disease. The nurse is teaching the parents about the cause of the disease. Which statement, if made by the parent, supports that teaching was successful

Special cells are not present in the rectum, which caused the disease

The mother of a child with Hep A tells the home care nurse that she is concerned b/c the child's jaundice seems worse. What is the nurse's best response

The jaundice may worsen before it resolves

The nurse provides feeding instructions to a parent of an infant diagnosed with gastroesophageal reflux disease (GERD). Which instruction should the nurse give to the parent to assist in reducing the episodes of emesis

Thicken the feedings by adding rice cereal to the formula

The nurse is caring for an infant after repair of an inguinal hernia. Which of these assessment findings indicates that the surgical repair was effective

Absence of inguinal swelling with crying

The nurse is preparing to care for an infant who has esophageal atresia with tracheoesophageal fistula. Surgery is scheduled to be performed in 1 hour. IV fluids have been initiated and a NG tube has been inserted by the HCP. the nurse plans care, knowing that which intervention is of highest priority during this pre op period

Aspirate the NG tube q5-10 min

The nurse is preparing to care for a child with a dx of intussusception. The nurse review the child's record and expects to note which sign of this disorder documented

Bright red blood and mucus in the stool

After hydrostatic reduction for intussusception, the nurse should expect to observe which client response

Passage of barium or water-soluble contrast with stools