Chapter 45
The nurse is caring for a 2-year-old boy with an umbilical hernia and is teaching the mother about his condition. What response from the mother indicates a need for further teaching?
"I can tape a quarter over the hernia to reduce it."
Parents bring their infant to the clinic for evaluation. They report that the child has been vomiting for the past several hours. The nurse determines that the parents' report is accurate when they describe the vomiting as what?
"It seems to be quite forceful." "It is really sour & curdled." "He seems to cry just before it occurs."
The nurse is developing a teaching plan for an adolescent diagnosed with gastroesophageal reflux disease. What would the nurse include?
"You need to avoid acidic foods like oranges and grapefruits." "Eating smaller portions might be helpful." "try sleeping with your upper body elevated on a foam wedge."
What statement is most accurate r/t the diagnosis of congenital a ganglionic megacolon?
A partial or complete intestinal obstruction occurs
The nurse is teaching an in-service program to a group of nurses on the topic of GI disorders. The nurses in the group make what statement that is accurate r/t the diagnosis of plyoric stenosis?
A thickened, elongated muscle causes an obstruction at the end of the stomach
A child with chronic hepatitis develops cirrhosis. What would the nurse expect to assess?
Abdominal distention Prominent abdominal veins Petechaie and bruising
The nurse is reinforcing dietary teaching with the caregiver of a child diagnosed with celiac syndrome.
Bananas Skim milk Applesauce
The nurse is taking a health history of a 2-year-old girl presenting with a sudden onset of sever vomiting. What description would suggest an obstruction distal to the ampulla of Vater?
Bilous vomiting
A nurse is providing care to a child who has had surgery for a ruptured appendix. What would alert the nurse to the development of peritonitis?
Boardlike abdomen
The nurse performs an abdominal assessment of an infant and observes a prominent venous pattern. The nurse is aware that that is a sign of:
Cirrhosis of the liver
The nurse is providing care to a child with an intussesception. The child has a bowel movement and the nurse inspects the stool. The nurse would document the stool's appearance most like as what?
Currant jelly-like
In using knowledge of the diagnosis and care for a child with gastroenteritis, what 2 nursing interventions would the nurse most likely be doing?
Documenting the number and characteristics of stools Following standard precautions
The nurse is preparing an 18-month-old for discharge after treatment for dehydration following diarrhea. What would the nurse most likely include in the discharge teaching?
Encourage bananas, applesauce, and crackers.
An infant is diagnosed with pyloric stenosis. While observing the parents interacting with the child, the nurse notes that the parents are becoming frustrated bc they are having difficulty feeding their infant. The nurse identifies a nursing diagnosis of risk for impaired parents r/t frustration & difficulty feeding their infant. What would be appropriate for the nurse to include in the plan of care?
Encouraging rooming in with the infant Assisting the parents in holding and feeding their infant Pointing out positive aspects about their infant
The nurse has admitted a child with a diagnosis of severe gastroenteritis. To help prevent the risk of transmitting infection to other patients, the nurse should
Follow standard precautions
The parents of a 6-week-old boy come to the clinic for evaluation bc the infant has been vomiting. The parents report that the vomiting has been increasing in frequency and forcefulness over the last week. The mother says, "Sometimes, it seems like it just bursts out of his mouth." A diagnosis of hypertrophic pyloric stenosis is suspected. When performing the physical examination, what would the nurse most likely find?
Hard, moveable, olive-shaped mass in the right upper quadrant
The nurse admits a 9-year-old who is complaining of pain in the lower right quadrant of the abdomen, nausea, and constipation. She also has a fever of 101 degrees F. Which would the nurse most likely do at this time for this child?
Help her find a comfortable position.
A neonatal nurse teaches students how to recognize GI disorders in infants. The nurse tells the students that failure of the newborn to pass meconium in the first 24 hours after birth may indicate what disease?
Hirschsprung disease .
The nurse is caring for a child with a diagnosis of pyloric stenosis during the preop phase of the child's treatment. What goal has the highest priority at this time?
Improving hydration
A child with cirrhosis of the liver is admitted to the acute care facility in preparation for a liver transplant. When completing the physical examination, what would the nurse expect to assess?
Jaundice Ascites Spider angiomas
A 10-year-old male presents with low-grade fever, nausea, and abdominal pain. The nurse examining him suspects appendicitis and checks for rebound tenderness in what quadrant?
Lower right
12-year-old Hillary is brought to the emergency room by her parents with severe abdominal pain. The nurse performs a physical assessment to check for appendicitis. What assessment parameters indicate appendicitis?
Normal to hyperactive bowel sounds early Hypoactive bowel sounds with perforation Irritation and pain in the right lower quadrant Low-grade fever, nausea, anorexia, and vomiting
Nursing students are reviewing information about hiatal hernia and GI reflex. They demonstrate understanding of the information when they identify what as a finding specific to hiatal hernia?
Pain with vomiting
The nurse is conducting a phyisical exam of a child with suspected Crohn disease. What finding would be the most highly suspicious of Crohn disease?
Perianal skin tags or fissures
The nurse is caring for a child admitted with congenital aganglionic megacolon. What clinical manifestation would likely have been noted in the child with this diagnosis?
Persistent constipation
In caring for an infant diagnosed with pyloric stenosis, the nurse would anticipate doing what?
Preparing the infant for surgery
A nursing instructor is developing a class presentation about the meds use to treat peptic ulcer disease. What drug class would the instructor be least likely to include in the presentation?
Prokinetics
The nurse caring for a pt with Crohn disease knows that the long-term complications for this pt might include
Stricture Fistula Intra-abdominal abscess formation Short-bowel syndrome
The nurse is caring for a child admitted with acute appendicitis. Prior to the child going to the operating room for ER surgery, what nursing interventions would the nurse most likely perform?
The nurse encourages the child and family to express their fears
The nurse is caring for a child admitted with acute appendicitis. prior to the child going to the OR for ER surgery, what nursing intervention would the nurse most likely perform?
The nurse encourages the child and family to express their fears.
What occurs in the GI system of the child with Hirschsprung disease?
There is a partial or complete mechanical obstruction in the intestine.
Berberi is due to a deficiency of what?
Thiamine
