A 6 year old child comes in that has not had a bowel movement in 10 days. Mom states
she notices stool streaking in underwear when the child gets home from school.
Otherwise this child has no known history of having Gi issues. What intervention can the
nurse expect after the child receives a dx of encopresis?
abdominal xray
prep for surgery
stool softeners/ enema
NPO status
,Give this one a try later!
stool softeners/enema
encopresis = fecal soiling of underwear in child > 4 yrs old. due to
constipation; often associated with psych evaluation; child does not poop at
school; treatment includes:
- clean out
- prevent constipation (w/ hydration, high fiber foods, stool softeners)
How does a nurse test for pinworms in their patient?
lab work
stool sample
place tape on the anus overnight
Give this one a try later!
place tape on anus overnight - pinworm will lay eggs on tape
A child is brought to the ED with knees to chest & currant jelly stools. To diagnose for
intussusception, what test would the nurse predict?
barium enema
suprapubic catheterization
ng tube insertion
foley catheter insertion
Give this one a try later!
, barium enema
[isotonic/hypotonic] dehydration means there is an equal loss of fluid & na
[isotonic/hypotonic] means there is greater sodium los than water loss
Give this one a try later!
isotonic dehydration
hypotonic dehydration [low serum Na]
What are the early vs late signs of dehydration?
sunken fontanel
slow capillary refill
decreased BP
increased HR
dry mucous membranes
decreased tears/urine
no tears/urine
concentrated urine
Give this one a try later!
early signs:
sunken fontanel
increased HR
dry mucous membranes
decreased tears/urine
she notices stool streaking in underwear when the child gets home from school.
Otherwise this child has no known history of having Gi issues. What intervention can the
nurse expect after the child receives a dx of encopresis?
abdominal xray
prep for surgery
stool softeners/ enema
NPO status
,Give this one a try later!
stool softeners/enema
encopresis = fecal soiling of underwear in child > 4 yrs old. due to
constipation; often associated with psych evaluation; child does not poop at
school; treatment includes:
- clean out
- prevent constipation (w/ hydration, high fiber foods, stool softeners)
How does a nurse test for pinworms in their patient?
lab work
stool sample
place tape on the anus overnight
Give this one a try later!
place tape on anus overnight - pinworm will lay eggs on tape
A child is brought to the ED with knees to chest & currant jelly stools. To diagnose for
intussusception, what test would the nurse predict?
barium enema
suprapubic catheterization
ng tube insertion
foley catheter insertion
Give this one a try later!
, barium enema
[isotonic/hypotonic] dehydration means there is an equal loss of fluid & na
[isotonic/hypotonic] means there is greater sodium los than water loss
Give this one a try later!
isotonic dehydration
hypotonic dehydration [low serum Na]
What are the early vs late signs of dehydration?
sunken fontanel
slow capillary refill
decreased BP
increased HR
dry mucous membranes
decreased tears/urine
no tears/urine
concentrated urine
Give this one a try later!
early signs:
sunken fontanel
increased HR
dry mucous membranes
decreased tears/urine
