Ped 4

A child has presented to the clinic with diarrhea. The nurse should teach the parent to give which item to properly care for the child? -Milk -Bananas -Salty soups -Salty crackers

-Bananas

The nurse has developed a plan of care for a 12-month-old hospitalized with dehydration as a result of rotavirus. Which intervention would the nurse include in the plan of care? -Encouraging consumption of fruit juice -Offering Kool-Aid or popsicles as tolerated -Encouraging milk products to boost caloric intake -Maintaining the intravenous (IV) fluid rate as ordered

-Maintaining the intravenous (IV) fluid rate as ordered

The nurse is reviewing the medical record of a child with a cleft lip and palate. When reviewing the child's history, what would the nurse identify as a risk factor for this condition? -Maternal use of acetaminophen in third trimester -Preterm birth -Mother age 42 with pregnancy -History of hypoxia at bir

-Mother age 42 with pregnancy

The nurse is assessing a 10-day-old infant for dehydration. Which finding indicates severe dehydration? -Pale and slightly dry mucosa -Tenting of skin -Soft and flat fontanels (fontanelles) -Blood pressure of 80/42 mm Hg

-Tenting of skin

The nurse is determining maintenance fluid requirements for a child who weighs 25 kg (55 lb). How much fluid would the child need per day? 1,650 ml 1,600 ml 1,560 ml 1,700 ml

1,600 ml

Nurses will need to teach the parents of the infant being treated for Hirschsprung disease (aganglionic megacolon) to: -Care for a temporary colostomy. -Avoid use of a pacifier. -Thicken formula feedings. -Carefully monitor heart rate.

Care for a temporary colostomy.

The nurse is conducting a physical examination of an infant with suspected pyloric stenosis. Which finding indicates pyloric stenosis? -Abdominal pain and irritability -Hard, moveable "olive-like mass" in the upper right quadrant -Sausage-shaped mass in the upper mid abdomen -Perianal fissures and skin tags

Hard, moveable "olive-like mass" in the upper right quadrant

The nurse is caring for a 3-year-old with repeated diarrhea. The client is listless and clings to the parent. The nurse reviews the lab work, which reports a pH- 7.33, HCO3- 21, PaCO2- 42. Which would be documented? -High serum pH -Metabolic acidosis -Normal serum pH -Metabolic alkalosis

Metabolic acidosis

In caring for an infant diagnosed with pyloric stenosis the nurse would anticipate which intervention? -Prepare the infant for surgery. -Medicate the infant with analgesics. -Change the infant's diet to one that is lactose-free. -Assist in doing a barium enema procedure on the infant

Prepare the infant for surgery.

A child with gastroenteritis has been unable to keep oral medication down. What nursing intervention would be appropriate for this client? -Request an intravenous form of the medication. -Place the child on NPO status. -Give an antiemetic prior to giving oral medications. -Hold all medications until the vomiting stops.

Request an intravenous form of the medication.

The nurse is caring for a child with a diagnosis of pyloric stenosis during the preoperative phase of the child's treatment. What is the highest priority at this time? -Promoting comfort -Preparing family for home care -Improving hydration -Maintaining skin integrity

improving hydration

A 4-month-old has had a fever, vomiting, and loose watery stools every few hours for 2 days. The mother calls the physician's office and asks the nurse what she should do. Which response by the nurse is most appropriate? -"Do not give the child anything to drink for 4 hours. If the fever goes down and the loose stools stop, you can resume breastfeeding." -"Continue breastfeeding as you have been doing. The fluid from the breast milk is important to maintain fluid balance." -"Give a clear pediatric electrolyte replacement for the next few hours, then call back to report on how your child is doing." -"Bring the child to the office today so we can evaluate her fluid balance and determine the best treatment.".

-"Bring the child to the office today so we can evaluate her fluid balance and determine the best treatment.".

The nurse is developing a teaching plan for the parents of an 11-month-old infant with gastroesophageal reflux disease (GERD). The infant will be managed medically. What action(s) will the nurse incorporate into the teaching plan? Select all that apply. -Administer omeprazole after meals. -Thin the formula with water to ease the flow. -Administer a prokinetic to empty the stomach quickly. -Give the child small frequent feedings. -Keep the child upright for 30 minutes after feeding.

-Keep the child upright for 30 minutes after feeding. -Give the child small frequent feedings. -Administer a prokinetic to empty the stomach quickly.

The nurse admits a 7-year-old child who reports pain in the lower right quadrant of the abdomen, nausea, and constipation. An assessment shows that the child has a fever of 101℉ (38.3℃). Which nursing intervention should the nurse implement to safely address the child's reported pain? -Request a prescription for a laxative. -Place a heating pad or hot water bottle on the abdomen. -Help the child find a comfortable position. -Give the child an analgesic such as acetaminophen.

Help the child find a comfortable position.

Pyloric stenosis has been diagnosed in a 3-week-old male infant who has frequent vomiting after feedings. An important preoperative nursing intervention is: -Reducing vomiting by feeding small amounts of clear liquids or breast milk frequently. -Maintaining NPO status while restoring hydration and electrolyte balance. -Assessing the abdomen hourly for distention and bowel sounds. -Providing adequate pain control.

-Maintaining NPO status while restoring hydration and electrolyte balance.

A neonatal nurse examines an infant born with a congenital diaphragmatic hernia (CDH). The nurse is prepared for what condition associated with CDH that generally occurs at birth or within the first few hours of life? -Anemia -Respiratory distress -Malrotation -Intussusception

-Respiratory distress