Pediatric Nursing Ch 21
A child is diagnosed with intussusception the nurse anticipates that what action would be attempted first to reduce this condition?
-Barium enema
A group of nursing students are reviewing information about celiac disease. The students demonstrate understanding of this disorder when they identify which classic symptoms? SATA
-Constipation -Failure to thrive -Steatorrhea
The nurse is caring for a child with celiac disease. The parents and the child have attended a class with a group of other clients with the disorder. Which statements by the child or the parents indicate the need for further teaching? SATA
-I love pasta, so a long as I only eat it occasionally, I should be fine -I must be careful to eat only 100% whole grain foods -Celiac disease is the same as gluten intolerance that everyone is talking about these days
A child is hospitalized with dehydration as a result of rotavirus. When reviewing the plan of treatment, what can the nurse anticipate will be included? SATA
-IV fluid administration -monitor intake and output -daily weight
The nurse is developing a teaching plan for the parents of an 11th month old infant with gastroesophageal reflux disease (GERD). The child will be managed medically. What actions would the nurse incorporated into the teaching plan?
-Keeping the child upright for 30 minutes after feeding -administering prokinetics to empty the stomach quickly -giving the child small frequent feedings
A child with cirrhosis of the liver admitted to the acute care facility in preparation for a liver transplant. When completing the physical examination, what would the nurse expect to assess? SATA
-Spider angiomas -Ascites -Jaundice Rationale: Assessment findings associated with cirrhosis include jaundice, ascites, spider angiomas, and palmer erythema. Fatty stools are associated with celiac disease
A child is diagnosed with short bowel syndrome. What would the nurse expect to be included in the child's plan of care? SATA
-Vitamin supplements -Antibiotics -Total parenteral nutrition
The nurse is conducting a physical examination of an 18 month old with suspected intussusception. Which finding would the nurse identify as the hallmark of this condition?
A sausage-shaped mass in the upper midabdomen
The nurse is preparing an 18 month old for discharge after treatment for dehydration following diarrhea. What instruction would the nurse most likely include in the discharge teaching?
Encourage bananas, applesauce, and crackers
A child has been admitted to the acute care facility for the management of dehydration. The nurse is preparing to administer intravenous fluid replacement to the child. Which fluids are suitable for use? SATA
Normal saline lactated ringer
A child is scheduled for a urea breath test. The nurse understands that this test is being performed for which reason?
Urea breath test is used to detect the presence of H. pylori in the exhaled breath.
The nurse is to obtain a stool specimen from a 4 year old child who has very liquid stool. The child is ambulatory but weak. Which collection method would be most effective for the nurse to use?
apply a urine bag to the anal area
