Ch 37 Gastrointestinal Disorders

The nurse is preparing to care for a child with a diagnosis of intussusception. The nurse reviews the child's record and expects to note which sign of this disorder documented? 1. watery diarrhea 2. ribbon-like stools 3. profuse projectile vomiting 4. bright red blood and mucus in the stools

4. bright red blood and mucus in the stools

The clinic nurse reviews the record of an infant and notes that the HCP has documented a diagnosis of suspect 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? 1. diarrhea 2. projectile vomiting 3. regurgitation of feedings 4. foul-smelling ribbon-like stools

4. foul-smelling ribbon-like stools

The nurse provides feeding instructions to a parent of an infant diagnosed with gastroesophageal reflux disease. Which instruction should the nurse give to the parent to assist in reducing the episodes of emesis? 1. provide less frequent larger feedings 2. burp the infant less frequently during feedings 3. thin the feedings by adding water to the formula 4. thicken the feedings by adding rice cereal to the formula

4. thicken the feedings by adding rice cereal to the formula

Which interventions should the nurse include when creating a care plan for a child with hepatitis? Select all that apply. 1. providing a low-fat, well-balanced diet 2. teaching the child effective hand-washing techniques 3. scheduling playtime in the playroom with other children 4. notifying the HCP if jaundice is present 5. instructing the parents to avoid administering medications unless prescribed 6. arranging for indefinite home schooling because the child will not be able to return to school

1. providing a low-fat, well-balanced diet 2. teaching the child effective hand-washing techniques 5. instructing the parents to avoid administering medications unless prescribed

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? 1. rice 2. oatmeal 3. rye toast 4. wheat bread

1. rice

The nurse admits a child to the hospital with a diagnosis of pyloric stenosis. On assessment, which data would the nurse expect to obtain when asking the parent about the child's symptoms? 1. watery diarrhea 2. projectile vomiting 3. increased urine output 4. vomiting large amounts of bile

2. projectile vomiting

The nurse reviews the record of a newborn infant and notes that a diagnosis of esophageal atresia with tracheoesophageal fistula is suspected. The nurse expects to note which most likely sign of this condition documented in the record? 1. incessant crying 2. coughing at nighttime 3. choking with feedings 4. severe projectile vomiting

3. choking with feedings

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? 1. bile-stained fecal emesis 2. the passage of currant jell-like stools 3. failure to pass meconium stool in the first 24 hours after birth 4. sausage-shaped mass palpated in the upper right abdominal quadrant

3. failure to pass meconium stool in the first 24 hours after birth

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? 1. prone position 2. on the stomach 3. left lateral position 4. right lateral position

3. left lateral position

A child is hospitalized because of persistent vomiting. The nurse should monitor the child closely for which problem? 1. diarrhea 2. metabolic acidosis 3. metabolic alkalosis 4. hyperactive bowel sounds

3. metabolic alkalosis