Gastric Exam Questions With 100% Verified Solutions |
Updated
1. Which of the following clients
would the nurse suspect to have C) A 5-week-old infant with projectile vomiting
pyloric stenosis?
The most likely incidence of pyloric stenosis is
A) A 7-month-old with choking in
episodes
B) An 11-year-old with an a 2-8-week-old infant. The common
olive-shaped abdominal symptoms are non-bilious projectile vomiting,
mass irritability, and fail- ure to gain weight.
C) A 5-week-old infant with projectile
vomiting
D) A 2-year-old with a harsh cough
2. A nurse is discharging an infant
after a pyloric stenosis repair.
Which state- ment by the mother
would indicate C) "If my infant vomits, I should hold
feedings for six hours."
the need for further instructions prior It is normal for an infant to vomit occasionally
after
to discharge? having surgery for pyloric stenosis. The infant
should be fed on a normal feeding schedule. All
A) "My infant's incision will need
to be observed for redness, other state- ments about checking the incision
swelling, or discharge." site, folding the diaper, and calling the doctor
B) "I should call the doctor if my if there is a fever are true.
in- fant's temperature rises
above 101 degrees."
C) "If my infant vomits, I should
hold feedings for six hours."
D) "I should fold the diaper down so
it does not irritate the incision."
3. Which intervention would not be
in- cluded in the preoperative
plan of care for an infant with an
omphalo-
D) Push the exposed abdominal contents
back into the abdomen.
, Gastric Exam Questions With 100% Verified Solutions |
Updated
cele? Care of an infant with an omphalocele (a
congen- ital malformation where the
A) Administer intravenous
abdominal contents herniate through the
fluids. umbilical cord covered by a translucent sac) is
B) Care for the infant in a
radiant warmer. aimed at protection of abdominal contents.
Aggressive attempts at replacing the ab-
C)Assess for signs of other congenital dominal contents can lead to numerous
problems,
anomalies. including increased abdominal pressure,
D) Push the exposed abdominal impaired respiratory status, and bowel
con- tents back into the abdomen.
perforation. The goals should be to protect the
infant from hypothermia, replace fluids, prevent
infection, and look for other associated
4. Which of the following
instructions should be provided to anomalies.
parents of an infant with
gastroesophageal reflux? C) Elevate the head of the crib at all times.
A) Feed every 4-5 hours to Management of gastroesophageal reflux
prevent overfeeding.
includes administering small, frequent
B) Burp every 3-4 ounces with
feed- ing. feedings and burping every 1-2 ounces.
C) Elevate the head of the crib at Elevating the head of the bed and holding
all times. the infant upright for 30 minutes after
D) Place in a seated position for
10 minutes after feedings. feeding help minimize the reflux. Putting the
infant in a seated position can increase the
5. In obtaining a nursing history on pressure on the abdomen, causing reflux to
an increase.
B) Has the child been on antibiotics
recently?
18-month-old with diarrhea, which of C) Has the child traveled recently?
, Gastric Exam Questions With 100% Verified Solutions |
Updated
the following questions might help to D) Does the child have any food
sensitivities?
identify the cause of the problem? Se- E) Do any other family members have
diarrhea?
lect all that apply.
A complete history of the child with diarrhea is
im-
A) Has the child taken diphenhy- portant to finding the cause. Questions should
cover
, Gastric Exam Questions With 100% Verified Solutions |
Updated
dramine in the past week? recent travel, medication use, exposures, and
B) Has the child been on foods eaten. Diphenhydramine is an
antibiotics recently?
antihistamine that does not cause diarrhea.
C) Has the child traveled recently?
D) Does the child have any food Similar symptoms in other family members
sen- sitivities? suggest infectious etiology.
E)Do any other family members
have diarrhea?
6. A 3-week-old infant diagnosed
with pyloric stenosis is admitted
to the hospital during a vomiting
episode. C) position on right side
The nurse should position the infant on his
right side
Which action by the nurse is most ap- to prevent aspiration. The infant should be
weighed
propriate? daily, not every 12 hours. Vital signs should
be mon- itored every 4 hours, not every 8
A) placing infant on his back to
hours.
sleep
B) weighing infant q12h
C) position on right side
D) taking vital signs q8h
7. A child with a NG tube in place
com- plains of nausea. Which B) Irrigate tube
action by nurse is most
appropriate? Nurse should first check NG tube placement
and then irrigate tube to check for patency.
A) Administer antiemetic If nausea continues, tube may be
B) Irrigate tube repositioned, depending on child's condition. If
C) Notify physician nausea still continues, notify physician and
D) Reposition tube give antiemetic as ordered.
Updated
1. Which of the following clients
would the nurse suspect to have C) A 5-week-old infant with projectile vomiting
pyloric stenosis?
The most likely incidence of pyloric stenosis is
A) A 7-month-old with choking in
episodes
B) An 11-year-old with an a 2-8-week-old infant. The common
olive-shaped abdominal symptoms are non-bilious projectile vomiting,
mass irritability, and fail- ure to gain weight.
C) A 5-week-old infant with projectile
vomiting
D) A 2-year-old with a harsh cough
2. A nurse is discharging an infant
after a pyloric stenosis repair.
Which state- ment by the mother
would indicate C) "If my infant vomits, I should hold
feedings for six hours."
the need for further instructions prior It is normal for an infant to vomit occasionally
after
to discharge? having surgery for pyloric stenosis. The infant
should be fed on a normal feeding schedule. All
A) "My infant's incision will need
to be observed for redness, other state- ments about checking the incision
swelling, or discharge." site, folding the diaper, and calling the doctor
B) "I should call the doctor if my if there is a fever are true.
in- fant's temperature rises
above 101 degrees."
C) "If my infant vomits, I should
hold feedings for six hours."
D) "I should fold the diaper down so
it does not irritate the incision."
3. Which intervention would not be
in- cluded in the preoperative
plan of care for an infant with an
omphalo-
D) Push the exposed abdominal contents
back into the abdomen.
, Gastric Exam Questions With 100% Verified Solutions |
Updated
cele? Care of an infant with an omphalocele (a
congen- ital malformation where the
A) Administer intravenous
abdominal contents herniate through the
fluids. umbilical cord covered by a translucent sac) is
B) Care for the infant in a
radiant warmer. aimed at protection of abdominal contents.
Aggressive attempts at replacing the ab-
C)Assess for signs of other congenital dominal contents can lead to numerous
problems,
anomalies. including increased abdominal pressure,
D) Push the exposed abdominal impaired respiratory status, and bowel
con- tents back into the abdomen.
perforation. The goals should be to protect the
infant from hypothermia, replace fluids, prevent
infection, and look for other associated
4. Which of the following
instructions should be provided to anomalies.
parents of an infant with
gastroesophageal reflux? C) Elevate the head of the crib at all times.
A) Feed every 4-5 hours to Management of gastroesophageal reflux
prevent overfeeding.
includes administering small, frequent
B) Burp every 3-4 ounces with
feed- ing. feedings and burping every 1-2 ounces.
C) Elevate the head of the crib at Elevating the head of the bed and holding
all times. the infant upright for 30 minutes after
D) Place in a seated position for
10 minutes after feedings. feeding help minimize the reflux. Putting the
infant in a seated position can increase the
5. In obtaining a nursing history on pressure on the abdomen, causing reflux to
an increase.
B) Has the child been on antibiotics
recently?
18-month-old with diarrhea, which of C) Has the child traveled recently?
, Gastric Exam Questions With 100% Verified Solutions |
Updated
the following questions might help to D) Does the child have any food
sensitivities?
identify the cause of the problem? Se- E) Do any other family members have
diarrhea?
lect all that apply.
A complete history of the child with diarrhea is
im-
A) Has the child taken diphenhy- portant to finding the cause. Questions should
cover
, Gastric Exam Questions With 100% Verified Solutions |
Updated
dramine in the past week? recent travel, medication use, exposures, and
B) Has the child been on foods eaten. Diphenhydramine is an
antibiotics recently?
antihistamine that does not cause diarrhea.
C) Has the child traveled recently?
D) Does the child have any food Similar symptoms in other family members
sen- sitivities? suggest infectious etiology.
E)Do any other family members
have diarrhea?
6. A 3-week-old infant diagnosed
with pyloric stenosis is admitted
to the hospital during a vomiting
episode. C) position on right side
The nurse should position the infant on his
right side
Which action by the nurse is most ap- to prevent aspiration. The infant should be
weighed
propriate? daily, not every 12 hours. Vital signs should
be mon- itored every 4 hours, not every 8
A) placing infant on his back to
hours.
sleep
B) weighing infant q12h
C) position on right side
D) taking vital signs q8h
7. A child with a NG tube in place
com- plains of nausea. Which B) Irrigate tube
action by nurse is most
appropriate? Nurse should first check NG tube placement
and then irrigate tube to check for patency.
A) Administer antiemetic If nausea continues, tube may be
B) Irrigate tube repositioned, depending on child's condition. If
C) Notify physician nausea still continues, notify physician and
D) Reposition tube give antiemetic as ordered.
