GI practice Q's

The mother of a 2 y/o child tells the nurse that her child is frequently constipated. The nurse asks the mother how she handles the child's toileting. Which response would indicate to the nurse that the mother requires further education?

*"I schedule my child's toileting for before each meal"* -Have the child go after meals

The mother of an 18-month-old child with a cleft palate asks the nurse why the pediatrician has recommended that closure of the palate be performed before the child is 2. How would the nurse respond?

*"You need to have the surgery performed before your child starts to use faulty speech patterns"* -Also need speech therapy -Once feeding is established, they should be otherwise healthy -Repair is usually before the baby is 6-12 weeks old (cleft palate)

Which instruction would the nurse give to the parent of a child who has had one episode of diarrhea according to EBP?

*Continue the child's feedings as usual, observe the frequency of stools, and bring the chid to the clinic tomorrow if the diarrhea continues* -Expect improvement of fluid balance -Diarrhea poses risk of metabolic acidosis (sunken eyeballs, depressed anterior fontanel, and poor tissue turgor, breathing is deep/rapid, liquids stools, minimal UO)

The nurse is caring for a child after an emergency appendectomy for ruptured appendix. How would the nurse explain the reason for placing the child in the Semi-Fowler's position or right lateral recumbent with the head slightly elevated?

*Drainage is facilitated, preventing subdiaphragmatic abscess*

A 16-month-old toddler has had large, frothy, foul-smelling stools since the introduction of table foods and is irritable and apathetic. The child is diagnosed with celiac disease and a gluten-free diet is prescribed. Which response would the nurse anticipate in the child after 2 days on the diet?

*Improved behavior* -Return of appetite, weight increase, and diarrhea cessation take more than several days

Which nursing intervention would the nurse priced for an infant with an unrepaired cleft lip?

*Modified feeding* -May have difficulty sucking on a nipple

Which assessment would be the most accurate method of monitoring hydration status of a 2-month old infant admitted with diarrhea and dehydration?

*Obtaining daily weights*

Which assessment would the nurse choose for a 4-week-old boy whose mother reports, "he cries all the time and always acts hungry but he throws up everything"?

*Palpating the abdomen for hypertrophic pyloric stenosis*

For which complication would the nurse assess an infant with GERD?

*Respiratory problems* -predisposed to aspiration -Provide formula thickened with cereal

A 3.5 year-old child is admitted for an appendectomy. Which strategy would the nurse use to prepare the child for the hospital experience?

*Therapeutic play*

Which education would the nurse provide the parents of an infant with pyloric stenosis?

*This is a condition with an excellent prognosis* -Immediate F&E replacement followed by surgery usually results in full recovery

The nurse is assessing a school-aged child who suffers from encopresis. Which advice provides effective treatment for this condition?

-"You should drink lots of fluid" -"You should increase cereals in your diet" -"You should eat fresh fruit for breakfast"

Which clinical finding would the nurse expect when assessing an infant with pyloric stenosis?

-Visible peristaltic waves -Olive-shaped mass in the RUQ -Stomach is attempting to propel its contents through the pyloric sphincter -Abdomen may be distended -Digestive processes are intact - BS heard