Gastrointestinal System -
Inflammatory Conditions Guide |
2024-2025 Edition
"Lie on your left side with knees bent." - ✔✔A child presents with anorexia, right lower quadrant
pain, and nausea. Which instruction can the nurse give to the child to enhance comfort?
-Palpate the skin.
-Measure urine output. - ✔✔A child with right lower quadrant pain and anorexia has begun
vomiting. Which assessments are necessary to evaluate the outcome of nursing care for this
patient?
-Encourage the child to try to sleep.
-Encourage the child to verbalize feelings. - ✔✔The nurse is preparing a child for an
appendectomy and notes that the child is extremely quiet. Which nursing action is correct?
-Assess electrolyte and albumin levels regularly.
-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 who has inflammatory bowel disease with severe malabsorption and
anemia who can no longer attend school because of the condition. Which nursing actions are
appropriate?
-Nocturnal diarrhea.
-Loss of 5 pounds in 1 week.
-Decreased albumin and hemoglobin levels. - ✔✔The nurse is caring for a child diagnosed with
Crohn's disease. Which assessment findings would be concerning?
Administer intravenous (IV) normal saline bolus. - ✔✔A child with irritable bowel disease
presents with complaints of severe intestinal cramping, diarrhea, and bloating. Which
intervention is most important in achieving the desired outcome for this patient?
Sepsis. - ✔✔A child is admitted with right lower quadrant abdominal pain, anorexia, and fever.
The pain suddenly subsides, and the child is able to play normally but still has a fever. Which
potential complication is an immediate concern for this child?
-Provide emotional support.
-Administer intravenous fluids.