Nur 203 Exam Pediatrics: GI – Questions With Verified
Solutions
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Terms in this set (86)
A child presents with anorexia, right "Lie on your left side with knees bent."
lower quadrant pain, and nausea. Which A child with symptoms of appendicitis may be instructed
instruction can the nurse give to the to lie in a knee-chest position to alleviate the pain. This
child to enhance comfort? position reduces pressure on the inflamed appendix.
"Lie on your back."
"Lie on your abdomen."
"Lie on your left side with knees bent."
"Sit up straight in the chair with your legs
dangling."
,A child with right lower quadrant pain Palpate the skin
and anorexia has begun vomiting. Which The expected outcome for a patient with appendicitis
assessments are necessary to evaluate who is vomiting is achievement or maintenance
the outcome of nursing care for this hydration, as determined by good skin turgor, which can
patient? be assessed by palpation of the skin.
Select all that apply.
Measure urine output
The expected outcome for a patient with appendicitis
Palpate the skin who is vomiting is achievement or maintenance of
hydration, as determined in part by appropriate urine
Auscultate the chest output for the patient's age.
Measure urine output
Obtain a food diary
Measure arterial blood gases (ABGs)
The nurse is preparing a child for an Encourage the child to try to sleep.
appendectomy and notes that the child A patient with appendicitis may be in severe pain.
is extremely quiet. Which nursing action Encouraging the child to rest may be useful in relieving
is correct? discomfort.
Select all that apply.
Encourage the child to verbalize feelings.
The nurse would encourage the child to express any
Encourage the child to try to sleep. feelings. Allowing the child to verbalize feelings will
allow him or her to work through anxiety related to
Tell the child that everything will be fine. emergency hospitalization and surgery.
Encourage the child to verbalize
feelings.
Provide discharge instructions to allow
the parents to leave faster.
,The nurse is caring for a child who has Assess electrolyte and albumin levels regularly.
inflammatory bowel disease with severe Maintenance of adequate nutrition is an expected
malabsorption and anemia who can no outcome for the child with chronic diarrhea and
longer attend school because of the malnutrition. Electrolyte and albumin levels are
condition. Which nursing actions are indicators of nutritional status.
appropriate?
Select all that apply. Assess the child's height and weight and plot these
values on a growth chart.
Meeting normal physical and developmental milestones
Administer oral pain medication as is an expected outcome for a child with chronic
needed. diarrhea and malnutrition.
Assess electrolyte and albumin levels Encourage the parents and child to establish a regular
regularly. bowel elimination regimen.
An acceptable bowel elimination pattern is an expected
Question the child about feelings outcome for the child with chronic diarrhea. The nurse
related to body image. would encourage use of a bowel elimination regimen.
Assess the child's height and weight and
plot these values on a growth chart.
Encourage the parents and child to
establish a regular bowel elimination
regimen.
The nurse is caring for a child diagnosed Nocturnal diarrhea
with Crohn's disease. Which assessment Nocturnal diarrhea indicates that the child does not
findings would be concerning? have acceptable bowel patterns and the goals of
Select all that apply. treatment for this patient have not been met.
Loss of 5 pounds in 1 week
Nocturnal diarrhea Weight loss is a sign indicative of a decrease in
nutritional balance for a child with Crohn's disease.
Loss of 5 pounds in 1 week
Decreased albumin and hemoglobin levels
Gain of 2 pounds in 3 days Albumin and hemoglobin deficiencies would be
indicative of a nutritional imbalance for a child with
Decreased albumin and hemoglobin Crohn's disease.
levels
Rapid recoil when skin of the sternum is
pinched
, A child with irritable bowel disease Administer intravenous (IV) normal saline bolus.
presents with complaints of severe IV fluids should be administered to prevent dehydration
intestinal cramping, diarrhea, and from diarrhea.
bloating. Which intervention is most
important in achieving the desired
outcome for this patient?
Administer oral prednisone.
Administer IV pain medication.
Administer oral metronidazole.
Administer intravenous (IV) normal
saline bolus.
A child is admitted with right lower Sepsis
quadrant abdominal pain, anorexia, and Perforation of the appendix, as suggested by the child's
fever. The pain suddenly subsides, and symptoms, can lead to contamination of the mesenteric
the child is able to play normally but still bed and peritoneum by bowel contents and subsequent
has a fever. Which potential sepsis.
complication is an immediate concern
for this child?
Sepsis
Dehydration
Malnutrition
Hypertension
Solutions
Add to calendar
Play your way to mastery with fun games
Match Blocks Charms NEW
Terms in this set (86)
A child presents with anorexia, right "Lie on your left side with knees bent."
lower quadrant pain, and nausea. Which A child with symptoms of appendicitis may be instructed
instruction can the nurse give to the to lie in a knee-chest position to alleviate the pain. This
child to enhance comfort? position reduces pressure on the inflamed appendix.
"Lie on your back."
"Lie on your abdomen."
"Lie on your left side with knees bent."
"Sit up straight in the chair with your legs
dangling."
,A child with right lower quadrant pain Palpate the skin
and anorexia has begun vomiting. Which The expected outcome for a patient with appendicitis
assessments are necessary to evaluate who is vomiting is achievement or maintenance
the outcome of nursing care for this hydration, as determined by good skin turgor, which can
patient? be assessed by palpation of the skin.
Select all that apply.
Measure urine output
The expected outcome for a patient with appendicitis
Palpate the skin who is vomiting is achievement or maintenance of
hydration, as determined in part by appropriate urine
Auscultate the chest output for the patient's age.
Measure urine output
Obtain a food diary
Measure arterial blood gases (ABGs)
The nurse is preparing a child for an Encourage the child to try to sleep.
appendectomy and notes that the child A patient with appendicitis may be in severe pain.
is extremely quiet. Which nursing action Encouraging the child to rest may be useful in relieving
is correct? discomfort.
Select all that apply.
Encourage the child to verbalize feelings.
The nurse would encourage the child to express any
Encourage the child to try to sleep. feelings. Allowing the child to verbalize feelings will
allow him or her to work through anxiety related to
Tell the child that everything will be fine. emergency hospitalization and surgery.
Encourage the child to verbalize
feelings.
Provide discharge instructions to allow
the parents to leave faster.
,The nurse is caring for a child who has Assess electrolyte and albumin levels regularly.
inflammatory bowel disease with severe Maintenance of adequate nutrition is an expected
malabsorption and anemia who can no outcome for the child with chronic diarrhea and
longer attend school because of the malnutrition. Electrolyte and albumin levels are
condition. Which nursing actions are indicators of nutritional status.
appropriate?
Select all that apply. Assess the child's height and weight and plot these
values on a growth chart.
Meeting normal physical and developmental milestones
Administer oral pain medication as is an expected outcome for a child with chronic
needed. diarrhea and malnutrition.
Assess electrolyte and albumin levels Encourage the parents and child to establish a regular
regularly. bowel elimination regimen.
An acceptable bowel elimination pattern is an expected
Question the child about feelings outcome for the child with chronic diarrhea. The nurse
related to body image. would encourage use of a bowel elimination regimen.
Assess the child's height and weight and
plot these values on a growth chart.
Encourage the parents and child to
establish a regular bowel elimination
regimen.
The nurse is caring for a child diagnosed Nocturnal diarrhea
with Crohn's disease. Which assessment Nocturnal diarrhea indicates that the child does not
findings would be concerning? have acceptable bowel patterns and the goals of
Select all that apply. treatment for this patient have not been met.
Loss of 5 pounds in 1 week
Nocturnal diarrhea Weight loss is a sign indicative of a decrease in
nutritional balance for a child with Crohn's disease.
Loss of 5 pounds in 1 week
Decreased albumin and hemoglobin levels
Gain of 2 pounds in 3 days Albumin and hemoglobin deficiencies would be
indicative of a nutritional imbalance for a child with
Decreased albumin and hemoglobin Crohn's disease.
levels
Rapid recoil when skin of the sternum is
pinched
, A child with irritable bowel disease Administer intravenous (IV) normal saline bolus.
presents with complaints of severe IV fluids should be administered to prevent dehydration
intestinal cramping, diarrhea, and from diarrhea.
bloating. Which intervention is most
important in achieving the desired
outcome for this patient?
Administer oral prednisone.
Administer IV pain medication.
Administer oral metronidazole.
Administer intravenous (IV) normal
saline bolus.
A child is admitted with right lower Sepsis
quadrant abdominal pain, anorexia, and Perforation of the appendix, as suggested by the child's
fever. The pain suddenly subsides, and symptoms, can lead to contamination of the mesenteric
the child is able to play normally but still bed and peritoneum by bowel contents and subsequent
has a fever. Which potential sepsis.
complication is an immediate concern
for this child?
Sepsis
Dehydration
Malnutrition
Hypertension
