51-60
The nurse is collecting data on an infant with a diagnosis of suspected Hirschsprung's disease. Which question to the mother will most specifically elicit information regarding this disorder?
"Does your infant have foul-smelling, ribbon-like stools?"
A nurse is reinforcing teaching about elimination with an adolescent who is paralyzed from the waist down following a spinal cord injury. Which of the following statements by the adolescent indicates a need for further teaching?
"I need to catheterize myself twice a day."
A school-age child in an emergency department has a 2-day history of nausea and vomiting and reports severe right lower quadrant pain. A nurse is preparing the child for an appendectomy. Which of the following statements by the child should the nurse find most concerning?
"My belly doesn't hurt anymore"
A nurse is planning care for a child who has severe diarrhea. Which of the following actions is the nurse's priority?
Assess fluid balance
The nurse is preparing an infant for surgery to treat Hirschsprung's disease. Which assessment finding is priority to identify and treat
Decreased blood pressure and tachycardia
A nurse is caring for a toddler whose parent states that the child has a mass in his abdominal area and his urine is a pink color. Which of the following actions is the nurse's priority?
Instruct the parent to avoid pressing on the abdominal area.
A nurse is caring for a 4-year-old child who has dehydration. Which of the following findings should the nurse identify as the priority?
Potassium 2.5 mEq/L
An infant is seen in the health care provider's office for complaints of projectile vomiting after feeding. Findings indicate that the child is fussy and is gaining weight but seems never to get enough to eat. Pyloric stenosis is suspected. Which prescription would the nurse anticipate having the highest priority in the care of this child?
Prepare the family for surgery for the child.
A nurse is reinforcing teaching with the mother of a toddler who has acute nephrotic syndrome. The nurse should emphasize the need to report which of the following manifestations to the provider?
Yellow nasal discharge
A nurse is caring for a client who is postoperative immediately following a tonsillectomy. Which of the following snacks should the nurse offer the client?
orange ice pop
