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A 12-year-old boy has just undergone a liver transplantation and is recovering. After performing
a finger stick puncture and assessing the results, the nurse administers a 10% solution of dextrose
IV. What is the correct rationale for this intervention? - (answer)Prevention of hypoglycemia
The nurse is teaching an in-service program to a group of nurses on the topic of gastrointestinal
disorders. The nurses in the group make the following statements. Which statement is most
accurate related to the diagnosis of pyloric stenosis? - (answer)A thickened, elongated muscle
causes an obstruction at the end of the stomach.
A mother brings her 10-year-old son to the ER with complaints of abdominal pain. The nurse
performing a physical assessment notes the following symptoms: upper right quadrant pain that
radiates to the back; fever; nausea; and abdominal distention. Which disease would the nurse
consider as a diagnosis? - (answer)Pancreatitis
You care for a 12-year-old girl with Crohn disease. A primary assessment you would want to
make when caring for her would be to note if: - (answer)she has a temperature.
,A physician recommends a gastrostomy for a 4-year-old client with an obstruction. The parents
ask the certified wound, ostomy, and continence nurse (CWOCN) what the surgery entails. What
is the nurse's best response? - (answer)"The surgery creates an opening between the stomach and
abdominal wall."
The nurse is doing dietary teaching with the caregivers of a child diagnosed with idiopathic
celiac disease. Of the following foods, which would most likely be appropriate in the child's
diet? - (answer)Bananas
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? -
(answer)Lower right
The nurse is discussing the treatment of congenital aganglionic megacolon with the caregivers of
a child diagnosed with this disorder. Which statement is the best explanation of the treatment for
this diagnosis? - (answer)"The treatment for the disorder will be a surgical procedure."
A child is scheduled for a urea breath test. The nurse understands that this test is being performed
for which reason? - (answer)Detect Helicobacter pylori
,Which of the following is most correct regarding the gastrointestinal system of the child? -
(answer)The child cannot break down and use complex carbohydrates in the same way the adult
can.
The nurse is caring for a 4-year-old with oral vesicles and ulcers from herpangina. The child is
refusing fluids due to the pain and the mother is concerned about his hydration status. Which of
the suggestions would be most appropriate? - (answer)"Offer 'magic mouthwash' followed by a
popsicle."
The nurse is caring for a 6-month-old infant who was admitted to the emergency room 24 hours
ago with signs of severe diarrhea. The infant's rectal temperature is 104° F (40° C), with weak
and rapid pulse and respirations. The skin is pale and cool. The child is on IV rehydration
therapy, but the diarrhea is persisting. The infant has not voided since being admitted. Which is
the priority nursing intervention? - (answer)Take a stool culture
The nurse is obtaining the history of an infant with a suspected intestinal obstruction. Which
response regarding newborn stool patterns would indicate a need for further evaluation for
Hirschsprung disease? - (answer)Passed a meconium plug
An adolescent boy is diagnosed with hepatitis A. Which problem should be considered when
planning care? - (answer)He will become fatigued easily.
, A nurse is caring for a 6-year-old girl recently diagnosed with celiac disease and is discussing
dietary restrictions with the girl's mother. Which response indicates a need for further teaching? -
(answer)"My daughter can eat any kind of fruit."
A 9-month-old girl is brought to the emergency room with what appears to be bouts of intense
abdominal pain 15 minutes apart in which she draws up her legs and cries, often accompanied by
vomiting. In between the bouts, the child recovers and appears to be without symptoms. Blood is
found in the stool. What condition should the nurse suspect in this case? -
(answer)Intussusception
The nurse is providing instructions to the parents of a 10-year-old boy who has undergone a
barium swallow/upper and lower GI for suspected inflammatory bowel disease. Which of the
following instructions is most important? - (answer)"It is very important to drink lots of water
and fluids after the test is finished."
The nurse is working with the mother of a newborn. The mother asks why a baby needs small
feedings at frequent intervals. The nurse explains to the mother that this is necessary because in
the infant - (answer)The enzymes secreted by the liver and pancreas are reduced.