Gastrointestinal

ben is a 12 year old who. has just returned from the recovery room after having had an appendectomy. he had a perforated appendix and subsequently developed peritonitis. which of the following is the best position for ben at this time? a) prone b) right side lying c) left side lying d) supine

b) right side lying

the greatest post op danger from a cleft palate repair is: a) pain b) rupture of the suture lines c) infection d) dehydration

b) rupture of the suture lines

stevie is a 1 year old diagnosed with hirshprungs disease. he is likely going to have surgery in a few days. in the meantime, the nurse suggests to Stevie's mother which of the following diets? a) low fiber, high calorie, and high protein b) high fiber, high calorie, and high protein c) low fiber, low calorie, and high protein d) high fiber, low calorie, and high protein

a) low fiber, high calorie, and high protein

you are caring for a newborn who is being evaluated for imperforate anus. which of the following nursing interventions would be most important? a) maintaining NPO status b) taking axillary temps only c) providing warm soaks to the anal area d) maintaining the child in a supine position

a) maintaining NPO status

the nurse is caring for Henry, a 2 month old male with pyloric stenosis. Henry was admitted to the pediatric unit for rehydration prior to his pyloromyotomy. when the nurse reviews henry's bloodworm, she is not surprised to find which of the following results? a) pH 7.49, HCOS 29 b) pH 7.49, HCO3 18 c) pH 7.32, HCO3 29 d) pH 7.32, HCO3 18

a) pH 7.49, HCOS 29

Natalie, a 4 year old who has just had her appendix removed wakes up with her mother is at her bedside. which of the following comments by the nurse would be the most developmentally appropriate? a) when you feel better, your friends can come to visit b) there is a big band aid where the doctors took your appendix out c) you'll be able to return to preschool soon d) lets close the curtains while I look at your tummy

b) there is a big band aid where the doctors took your appendix out

which of the following assessments would you expect to note when caring for the child with pyloric stenosis? a) projectile vomiting of bile tinged emesis b) visible peristaltic waves c) metabolic acidosis d) non-projectile vomiting

b) visible peristaltic waves

the nurse is presenting a review on necrotiizing enterocolitis. the nurse knows that more info is needed when one of the students states which of the following? a) infants who receive CPR are at risk for developing NEC b) when the bowel dies, more mucus invades the bowel c) extra gas would be seen on an x-ray d) bacteria can grow in formula

b) when the bowel dies, more mucus invades the bowel

the nurse is caring for 12 year old Lani, who has taken an acetaminophen overdose. Lani's parents ask the nurse when she will considered "out of the woods". how long must Lani be monitored for liver damage? a) 8 hours b) 12 hours c) 36 hours d) 48 hours

c) 36 hours

Mrs. Crawford calls the nurse and tells her that a classmate of her daughter has been diagnosed with hepatitis A. she asks when she would likely see symptoms if her daughter were to also come down with hepatitis A. the nurse bases her response on the knowledge that the incubation period of hepatitis A is which of the following? a) less than 1 week b) 2 weeks c) 4 weeks d) up to 1 year

c) 4 weeks

the nurse is caring for 2 month old Sophia who has been diagnosed with biliary atresia. when reviewing Sophia's history the nurse would expect: a) Sophia's urine has been very pale b) Sophia has been having black tarry stools c) Sophia has had very poor weight gain d) Sophia has ahd a bluish tint to her sclera

c) Sophia has had very poor weight gain

when caring for a 12 month old infant with dehydration and metabolic acidosis, the nurse expects to see which of the following? a) a reduced WBC count b) decreased platelets c) shallow respirations d) tachypnea

d) tachypnea

the mother of newborn Hannah, an infant with cleft palate tells the nurse that she is so disappointed because she probably won't be able to nurse Hannah. which of the following is the nurse's best response? a) some mothers are still able to nurse their babies, have you tried yet? b) I understand you're frustrated, let's talk about other ways to feel close to Hannah c) the risk of aspiration is too great, I know you want what's best for Hannah d) it will be hard enough to feed her with a bottle, I certainly wouldn't attempt breastfeeding

a) some mothers are still able to nurse their babies, have you tried yet?

you are caring for a 3 year old admitted with diarrhea and dehydration. the is NPO for bowel rest. she is ordered for maintenance IVF. Her weight is 13 kg. you calculate her hourly IVF rate to be approximately: a) 52 b) 46 c) 36 d) 26

b) 46

Andy is a 30 kg child who is admitted to the pediatric unit with dehydration. he is currently NPO and is receiving IVF at maintenance. what is the hourly rate that is IV should be at? a) 60 b) 70 c). 80 d) 90

b) 70

joey is a 12 year old diagnosed with IBD. he has recently developed mouth ulcers and arthritis in his joints. which of the following is likely occurring? a) joey likely has Crohn's disease b) joey likely has UC c) it is impossible to distinguish the type of IBD that joey has, but he likely has a secondary inflammatory illness unrelated to the IBD d) the medications used to treat IBD have caused mouth ulcers and arthritis

a) joey likely has Crohn's disease

Adam is a 6 year old with severe CP. he is the youngest of 4 siblings and is cared for at home. his mother is discussing his usual daily ritual with the nurse. which of the following is important for both Adam and his family? a) Adam receives his tube feedings at the table during family meal times b) Adam receives his tube feedings before the family meal, so that he can nap while the rest of the family is together, allowing Adam's parents to have more time with his siblings c) in order to save time, Adam receives his tube feedings in the family vehicle, while they are traveling his siblings sports events d) Adam receives his feedings at night when the home health nurse is present

a) Adam receives his tube feedings at the table during family meal times

48 hours after birth, a neonate has not passed meconium. The RN suspects which condition? a) CF b) celiac disease c) intussusception d) abdominal wall defect

a) CF

the nurse working in a large children's hospital is preparing to receive a transfer form a small community hospital. Cameron is a toddler diagnosed with intussusception who arrives lethargic with a very rapid heart rate and a blood pressure that is only palpable. his abdomen is rigid and Cameron does not respond vigorously when examined. the nurse correctly expects: a) Cameron will immediately be brought to the operating room for surgical correction b) Cameron will be brought to the radiology department for an attempt at reduction with a barium enema c) Cameron will be closely observed in the eR to see if his condition changes d) Cameron will be courted to increase his consumption of clear liquids

a) Cameron will immediately be brought to the operating room for surgical correction

the nurse is obtaining a history on David, a toddler with hirschprung's disease. she asks about his bowel patterns and is not surprised when David's mother says which of the following? a) David tends to have long skinny stools b) David occasionally has bloody stools that contain mucus c) David always has large amounts of liquid diarrhea d) David has very small constipated white stools

a) David tends to have long skinny stools

the nurse is working in the ER when Mrs. Evans brings 4 year old sally in to be evaluated. sally has been vomiting and having diarrhea for 2 days. mrs. Evans states that sally just hasn't been able to keep anything down. the nurse notes that sally is very pale and has dark circles around her eyes. sally is very lethargic and doesn't cry or move when the nurse obtains her vital signs. which of the following should the nurse anticipate will be included in sally's POC? a) administering an IV bolus b) administering an IV bolus with fluids containing both saline and glucose to help correct dehydration and hyperglycemia c) give sally a pedialyte popsicle to avoid traumatizing sally with an invasive procedure d) encourage sally's mother to attempt to give her clear liquids before starting an IV

a) administering an IV bolus

the nurse is caring for amber, a 6 year old who has just been diagnosed with appendicitis. when the nurse is performing amber's assessment and fathering her history, she would expect to find which of the following? a) amber complains of increased pain when the nurse releases her hand from her right lower quadrant b) amber complains of increased pain when the nurse presses down on her right lower quadrant c) amber has a decreased WBC count d) amber has increased bowel sounds

a) amber complains of increased pain when the nurse releases her hand from her right lower quadrant

toddler is brought to the ED with sudden onset of abdominal pain, vomiting, and stools that look like red currant jelly. to confirm intussusception, the nurse expects the doctor to order which of the following tests? a) barium enema b) suprapubic catheter insertion c) NG insertion d) Foley catheter insertion

a) barium enema

a 3 month old infant undergoes a surgical repair of cleft lip. after surgery what should the nurse teach the parents regarding how to feed the infant? a) breast feed or bottle feed b) use a cup to feed c) use a paper straw d) use a medicine dropper

a) breast feed or bottle feed

the nurse is providing education to Kirsten's parents. Kirsten is a 6 week old with GERD. which of the following should the nurse include in her teaching plan? a) although most children should be put on their backs to sleep, Kirsten should be placed on her side to avoid aspiration b) Kirsten should be fed smaller amounts in each feeding c) the time between Kirsten's feedings should be stretched out as much as possible to assure that the stomach has fully emptied d) Kirsten's parents should decrease the caloric density of her feedings

b) Kirsten should be fed smaller amounts in each feeding

the nurse is caring for 18 month old Matthew who is being evaluated for GERD. when reviewing Matthew's history, the nurse would expect to find which of the following? a) Matthew was born 3 days after his due date b) Matthew has a history of asthma c) Matthew is in the 50th percentile for both height and weight d) Matthew recently had intussception reduced by barium enema

b) Matthew has a history of asthma

the nurse is caring for Allie, a 9 year old being evaluated for appendicitis. she initially complained of generalized pain, but now points to her right lower quadrant when asked where it hurts. the nurse knows that his location is referred to as which of the following? a) roving sign b) McBurney's point c) psoases sign d) obturator sign

b) McBurney's point

the nurse is caring for Tammy, a premie infant. the nurse is concerned that Tammy is developing NEC. which of the following could indicate NEC? a) prior to administering Tammy's feeding by NG tube, the nurse checks for residual feeds and discovers that none of the previous feed remains b) Tammy has a low body temp c) Tamm's stool is soft and formed d) Tammy's abdominal girth has decreased

b) Tammy has a low body temp

you are caring for a 12 month old who has recently had surgery to repair his cleft palate. which of the following would be the best toy to stimulate this infant? a) a rattle b) a mobile c) a teething ring d) something to bang

b) a mobile

Johnny is suspected of having hirschprung's disease. the nurse would expect the child's history of present illness to include which of the following? a) anemia, abdominal distention, fecal soiling b) abdominal distention, constipation, foul smelling stools c) bloody diarrhea, fever, vomiting d) irritability, severe abdominal cramps, fecal soiling

b) abdominal distention, constipation, foul smelling stools

the nurse is caring for Jed, a newborn with suspected TEF. When his mother offered him his first feeding, Jed became cyanotic and coughed and choked. which of the following would the nurse expect to be part of Jed's care? a) allow Jed's mother to feed him pedialyte slowly in a monitored area, stopping all feedings 6 hours before surgery b) begin IVF and IV antibiotics c) admit Jed to the ICU and immediately place him on 100% oxygen d) allow Jed's parents to visit him in the PICU, but not hold him until immediately before his surgery

b) begin IVF and IV antibiotics

What is the most common assessment finding in a child with ulcerative colitis? a) abdominal cramps b) bloody diarrhea c) anal fissures d) abdominal distention

b) bloody diarrhea

the nurse is caring for bobby, a 4 year old with celiac disease. when reviewing bobby's history the nurse would expect to find which of the following? a) bobby has always been tall for his age b) bobby has a history of fatty stools c) bobby didn't start solid food until he was 8 months old d) bobby has an elevated hematocrit and hemoglobin

b) bobby has a history of fatty stools

the nurse is working in the clinic when she is told that a child with IBD is coming for work. in order to care for this child, the nurse reviews info on IBD. which of the following is accurate? a) UC attacks all but the mucosa of the bowel b) crops disease affects all layers of the bowel wall c) UC usually involves the small intestines d( crow's disease causes more blood loss than UC

b) crops disease affects all layers of the bowel wall

the 1 day old neonate is suspected to have TEF. which nursing intervention is most appropriate for his infant? a) avoiding suctioning unless cyanosis occurs b) elevate HOB and giving nothing by mouth c) elevating the neonate's head for 1 hour after feedings d) giving the neonate only glucose water for the first 24 hours

b) elevate HOB and giving nothing by mouth

the nurse is caring for Sarah, a 12 month old toddler who has just had a repair of a cleft palate. which of the following should be included in Sarah's players of care? a) position Sarah so that secretions drain from the mouth and suction her with a soft tipped catheter b) encourage Sarah's mother's to hold and rock her frequently c) attempt to keep Sarah from crying, encourage her to hold her favorite stuffed animal and use her pacifier when upset d) keep Sarah hydrated by offering her juice and liquids in a bottle

b) encourage Sarah's mother's to hold and rock her frequently

the nurse is doing a presentation on hepatitis for a group of day care workers. the nurse knows that clarification is needed when one of the day care teachers makes which of the following statements? a) most children have been vaccinated against hepatitis B b) in order to prevent the spread of hepatitis A we should not allow the toddlers to assistt with toileting c) it would be best to have the cook not help care for the children d) we need to make sure that everyone is washing their hands well

b) in order to prevent the spread of hepatitis A we should not allow the toddlers to assistt with toileting

you are the nurse caring for an infant who was just delivered. you suspect the child has TEF. which set of symptoms would suggest this problem? a) drooling and diarrhea b) increased mucous production and oral secretions c) air distension in the stomach and vomiting d) persistent cyanosis and visible peristaltic waves

b) increased mucous production and oral secretions

the nurse is providing discharge instructions to Isabella, a 14 year old with UC. which is the nurse's best advice regarding her diet? a) you'll know what to eat and what to avoid by how your body responds. keeping a journal is always a good idea b) it's recommended that you eat high protein, high calorie, and low fat foods c) it's recommended that you eat high protein, high calorie, and high fat foods d) that is a good question; I'll have the dietician come talk to you

b) it's recommended that you eat high protein, high calorie, and low fat foods

4 year old drew has been vomiting for 24 hours. several labs have been ordered. the nurse would expect there results to show which of the following? a) metabolic acidosis b) metabolic alkalosis c) respiratory acidosis d) respiratory alkalosis

b) metabolic alkalosis

the nurse is working in the ER when 16 year old Jeremy is admitted with a diagnosis of acetaminophen poisoning. Jeremy admits that he took the medication 50 minutes ago. which of the following should be included in Jeremy's plan of care? a) administer activated charcoal as soon as Jeremy's alb results come back b) prepare to administer whole bowel lavage c) administer N acetylcysteine within 8 hours of ingestion d) administer syrup of ipecac

c) administer N acetylcysteine within 8 hours of ingestion

eight week old Jose is admitted for surgery to repair his cleft lip. what is the most important nursing intervention following surgery? a) lay th baby on his stomach to prevent aspiration b) provide adequate oral nutrition c) decrease stress on the suture line d) use a hard nipple and pacifier in order to teach the child how to such properly

c) decrease stress on the suture line

the nurse is caring for 18 month old Kobe who has moderate diarrhea. which of the following should be included in Kobe's plan of care? a) encourage kobe to drink apple juice and sports drinks b) have Kobe eat only bananas, rice, appease, and toast c) ensure that all of Kobe's diapers are weighed d) keep Kobe NPO for 4-6 hours to see if the diarrhea subsides

c) ensure that all of Kobe's diapers are weighed

Amelia is a 3 month old infant who is receiving tube feeds due to a temporary malformation in the GI system. which of the following should the nurse encourage Amelia's mother to do during her feedings? a) sing or play music that is calming to Amelia b) stroke Amelia's head and talk to her during the feeding c) give Amelia a pacifier during the feeding d) encourage Amelia to sleep during the feeding

c) give Amelia a pacifier during the feeding

the pediatric clinic nurse is evaluating 6 year old Elizabeth who has chronic constipation. which of the following should be included in the nurse's dietary recommendations to Elizabeth and her family? a) increase liquids and fat while decreasing protein and fiber b) increase liquids and protein while decreasing fiber and fat c) increase liquids and fiber while decreasing protein and fat d) increase liquids, fiber, and protein, while decreasing fat

c) increase liquids and fiber while decreasing protein and fat

the nurse is teaching a class to a group of new parents when one parent tells the nurse that her neighbor's infant was treated for esophageal burns from formula that was too hot. which of the following is the nurse's best response? a) that is very unusual since most infants will spit out anything that is too hot or not palatable b) although it is essential to warm a baby's bottle it should never be done in the microwave c) it is always important to test the temperature of the formula since a young baby will automatically swallow what is in his mouth d) that's too bad that happened to your neighbor's baby but it sounds like the parents were irresponsible

c) it is always important to test the temperature of the formula since a young baby will automatically swallow what is in his mouth

mr walker asks the nurse is it matters when they give their infant Tyler his ranitidine. which of the following is the nurse's best response? a) since ranitidine is an antacid it doesn't really matter when you give it to him b) it would probably be easiest to give it with Tyler's feeding c) it would be best to give the med 30 minutes before Tyler eats d) it would be best to give the med 30 minutes after Tyler eats

c) it would be best to give the med 30 minutes before Tyler eats

The nurse is providing dietary teaching for the parents of a child with celiac disease. this child should avoid: a) veggies b) fruits c) prepared pudding d) rice

c) prepared pudding

when developing a poster planning of care for an infant scheduled for cleft lip repair, the nurse should assign highest priority to which intervention? a) comforting the child as quickly as possible b) maintaining the child in a prone position c) restraining the child's arms at all times, using elbow restraints d) avoiding disturbing any crusts that form on the suture line

c) restraining the child's arms at all times, using elbow restraints

the nurse is reviewing info on pyloric stenosis. which of the following reflects accurate info? a) it only occurs in males b) vomiting will gradually become more projectile and contain more bile as the pylorus muscle thickens c) surgical correction involves spreading open the muscle around the pyloric valve d) a sausage shaped mass can be palpated in the lower abdomen

c) surgical correction involves spreading open the muscle around the pyloric valve

Madison is a 4 week old with a cleft lip and palate who is scheduled for a surgical repair of the lip. her mother asks the nurse why the lip and palate aren't being repaired at the same Tim.e the nurse's best response is: a) they prefer to schedule the repairs separately to avoid using too much anesthesia b) the palate is generally not repaired until Madison has begun talking c) the palate needs to have an opportunity to grow and the repair requires that Madison be drinking from an open cup usually about 6 to 12 months of age d) it sounds like you have some unanswered questions. I can arrange to have you speak to the surgeon

c) the palate needs to have an opportunity to grow and the repair requires that Madison be drinking from an open cup usually about 6 to 12 months of age

mrs plank calls the nurse and tells her that she is concerned about her 1 year old Ryan. she reports that he had an episode where he drew his legs up to his abdomen and then vomitied. she later checked his diaper and found that it contained a small amount of stool stained with mucus and blood. which of the following represents the nurse's best response to mrs. plank? a) it sounds like Ryan is feeling better now, feel free to call us back if it happens again b) it sounds like everything is alright, but just to be sure lets schedule an appointment for Ryan to be checked in the morning c) you should bring Ryan to the emergency room to be evaluated to make sure that nothing serious is going on d) it sounds like Ryan's stomach is upset, did he eat anything different?

c) you should bring Ryan to the emergency room to be evaluated to make sure that nothing serious is going on

the nurse is providing education on cleft lip and palate to a group of nursing students. it is apparent that more education is needed when a student states that the infants are at risk for: a) pneumonia b) otitis media c) altered bonding with parents d) GERD

d) GERD

Lucy is a 3 month old with biliary atresia. Lucy's mom asks why her infant is so irritable and restless. which of the following is the nurse's best response? a) Lucy's enlarged liver is probably placing pressure on other areas of her body. I'll give her some pain medication b) Lucy is probably restless because she must remain in the crib and can't be held and cuddled c) Lucy probably needs more stimulation, let's put a music box near her crib d) Lucy is probably feeling very itchy. I'll give her some medication for that

d) Lucy is probably feeling very itchy. I'll give her some medication for that

Kennedy is an infant in the ICU who has been diagnosed with NEC. the nurse anticipates that which fo the following will be included in Kennedy's plan of care? a) decrease the amount of feeding and change it from formula to pedialyte b) connect the NG tube to intermittent low wall suctioning in between feedings c) decrease visitors and only allow the parents to hold the infant d) administer antibiotics

d) administer antibiotics

3 year old Kelly's mother reports that Kelly opened a bottle of medication that was in her purse. in the ER, Kelly has white powder around her mouth and there are no pills left in the bottle. a diagnosis of accidental overdose is made. in order to verify the placement of the NG tube for charcoal administration, the nurse should: a) instill air and auscultate over the upper left epigastrium for a popping sound b) assume correct placement as long as there is no choking or decreased O2 sats c) instill air and auscultate the upper chest to ensure the tube is not in the lungs d) after the tube is placed, aspirate the contents and verify the pH is less than 6

d) after the tube is placed, aspirate the contents and verify the pH is less than 6

marcia is a 3 week old who was diagnosed with TEF. Her defect was extensive and Marcia's surgery needed to be done in stages. she also had a g-tube placed until complete correction can be obtained. when providing her discharge instructions, the nurse would include which of the following: a) clean around the g-tube site with hydrogen peroxide or butadiene BID b) if the g-tube comes out during the night, it is acceptable to skip one feeding and call the pediatric clinic in the morning c) flush the g-tube with approximately 2 oz of water after each feeding to avoid obstruction within the tube d) always check for residual formula before beginning the next feeding by attaching a syringe and gently withdrawing

d) always check for residual formula before beginning the next feeding by attaching a syringe and gently withdrawing

brad is a 5 year old who is being evaluated for encopresis. which of the following would the nurse expect to hear while obtaining brad's history? a) brad has adjusted well to kindergarten b) brad has been having fatty stools that float in the toilet water c) brad typically has soft formed stools 2-3 times a day d) brad has been having liquid stool stain his underwear

d) brad has been having liquid stool stain his underwear

as the nurse caring for a 12 month ofd who has just had a cleft palate repair, you would use which of the following to provide fluids for the child? a) rubber tipped syringe b) bottle c) medicine dropper d) cup

d) cup

tonya is a 6 month old female who vomited twice this morning and had one episode of diarrhea. which of the following would indicate that the infant is no longer in early stages of dehydration, but has progressed to severe dehydration? a) increased heart rate b) sunken fontanel c) dry mucous membranes d) decreased cap refill

d) decreased cap refill

a 10 month old is admitted to the hospital with dehydration and metabolic acidosis. what is the most common cause of dehydration and acidosis in infants? a) early introduction of solid foods b) inadequate perianal hygiene c) tachypnea d) diarrhea

d) diarrhea

which of the following is the most appropriate discharge teaching for the nurse caring for the child was celiac disease? a) eliminating corn, rice, and millet from the diet b) adding iron, folic acid, and fat soluble vitamins to the diet c) reinforcing the short-terms effects of the disease and the need to adhere to dietary restrictions until the disease is in remission d) eliminating wheat, rye, barley, and oats from the diet

d) eliminating wheat, rye, barley, and oats from the diet

the nurse is caring for Trisha, a 6 year old with pneumonia. Trisha also has celiac disease. the dietary aide brings the lung trays and asks what Trisha can eat. which of the following lunches would be acceptable? a) beef and barley soup, vanilla pudding, and orange juice b) pizza, applesauce, and sprite c) cheeseburger, corn chips, an dmiilk d) grilled chicken and corn

d) grilled chicken and corn

The nurse is teaching a group of nursing students about pathyophys of hirshprungs disease. she knows that a student understands the teaching when the student says which of the following? a) in hirshprungs disease, there is an over abundance of ganglion cells which lead to the clinical manifestations b) in hirshprungs disease, the over active ganglion cells can cause inflammation of the bowel leading to an obstruction c) in hirshprungs disease, the entire bowel is without ganglion cells d) in hirshprungs disease, there is a section without peristalsis

d) in hirshprungs disease, there is a section without peristalsis

you are caring for a 7 month old who is suspected of having intussception. what clinical manifestations would most likely be present? a) abdominal pain, vomiting, olive shaped mass to the right of the umbilicus b) anorexia, abdominal distention, constipation c) malnourished looking child, fever, diarrhea d) inconsolable crying, abdominal pain, sausage shaped mass in the right lower quadrant

d) inconsolable crying, abdominal pain, sausage shaped mass in the right lower quadrant

julie is a newborn infant diagnosed with tEF. when reviewing julie's history, the nurse would expect to find which of the following? a) julie tolerated feedings for a few days, then experienced projectile vomiting b) julie's mother stated that she barely looked pregnant and never needed to wear maternity clothes c) julie continuously appeared hungry despite being fed every 2 hours d) julie appeared to have a lot of secretions and became cyanotic when fed

d) julie appeared to have a lot of secretions and became cyanotic when fed

the nurse in a pediatric clinic asks a mother to bring her baby in for Eval. the nurse suspects that the baby will be tested for pyloric stenosis when the mother states the following: a) my baby spits up a little 45 min after every feeding b) my baby vomits right before I begin to give his next feeding c) when my baby vomits, it is forceful and green d) my baby still wants to eat right after he vomits

d) my baby still wants to eat right after he vomits

mrs. Peters calls the nurse and states that she is worried that her children will get pinworms like their neighbors. which of the following should the nurse tell mrs. Peters? a) be sure to avoid the children and their pets b) if you notice your children scratching their perianal area, we'll need to obtain blood and stool samples c) it is impossible for children to catch pinworms, it is only spread within a family d) your children should be treated with medication if they have been around your neighbors

d) your children should be treated with medication if they have been around your neighbors