pd ch22 25-40

26. A nurse is admitting a child with Crohn disease. Parents ask the nurse, "How is this disease different from ulcerative colitis?" Which statement should the nurse make when answering this question?

"With Crohn disease the inflammatory process involves the whole GI tract."

36. The nurse is caring for an infant whose cleft lip was repaired. What important aspects of this infant's postoperative care should be included?

Cleansing the suture line, supine and side-lying positions, arm restraints

27. Which is used to treat moderate to severe inflammatory bowel disease?

Corticosteroids

38. The nurse is caring for a neonate with a suspected tracheoesophageal fistula. What nursing care should be included?

Elevate the head but give nothing by mouth.

35. A mother who intended to breastfeed has given birth to an infant with a cleft palate. What nursing interventions should be included?

Encouraging and helping mother to breastfeed.

33. A newborn was admitted to the nursery with a complete bilateral cleft lip and palate. The physician explained the plan of therapy and its expected good results. However, the mother refuses to see or hold her baby. What is the initial therapeutic approach for the mother?

Encouraging her to express her feelings.

28. Why are bismuth subsalicylate, clarithromycin, and metronidazole prescribed for a child with a peptic ulcer?

Eradicate Helicobacter pylori

30. Which vaccine is now recommended for the immunization of all newborns?

Hepatitis B vaccine

40. What is the best description of pyloric stenosis?

Hypertrophy of the pyloric muscle

25. A nurse is conducting an in-service on childhood gastrointestinal disorders. Which statement is most descriptive of Meckel diverticulum?

Intestinal bleeding may be mild or profuse.

32. A nurse is admitting an infant with biliary atresia. Which is the earliest clinical manifestation of biliary atresia the nurse should expect to assess?

Jaundice

37. During the first few days after surgery for cleft lip, which intervention should the nurse do?

Keep infant heavily sedated to prevent suture strain.

31. What offers the best chance of survival for a child with cirrhosis?

Liver transplantation

29. Which statement best characterizes hepatitis A?

Onset is usually rapid and acute.

34. What should be included in caring for the newborn with a cleft lip and palate before surgical repair?

Providing satisfaction of sucking needs

39. Which type of hernia has an impaired blood supply to the herniated organ?

Strangulated hernia