Correct Answers
A nurse is caring for a child who has watery diarrhea for the past 3 days. Which action
should she take?
A. offer chicken broth
B. initiate oral rehydration therapy
C. start hypertonic IV solution
D. keep NPO until diarrhea subsides - ANSWERSB
A nurse is caring for a child with suspected Enterobius vermicularis. Which action
should she take?
A. perform tape test
B. collect stool specimen for culture
C. test stool for occult blood
D. initiate IV fluids - ANSWERSA
A nurse is assessing a child with rotavirus infection. Which of the following are
expected? (Select all that apply)
A. fever
B. vomiting
C. watery stool
D. bloody stool
E. confusion - ANSWERSA, B, C
A nurse is teaching parents about Salmonella. Which info should she include? (Select
all that apply)
A. incubation period is nonspecific
B. it's bacterial infxn
C. bloody diarrhea is common
D. transmission can be from hosuehold pets
E. antibiotics are used for treatment - ANSWERSB, C, D
A nurse is teaching about E coli. Which info should she include? (Select all that apply)
A. severe ab cramping occurs
B. watery diarrhea present more than 5 days
C. it can lead to hemolytic uremic syndrome
, D. it is foodborne pathogen
E. antibiotics are given for treatment - ANSWERSA, C, D
A nurse is assessing an infant who has hypertrophic pyloric stenosis. Which of the
following manifestations should the nurse expect? (Select all that apply)
A. projectile vomiting
B. dry mucous mem
C. currant jelly stools
D. sausage shaped abdominal mass
E. constant hunger - ANSWERSA, B, E
A nurse is caring for a child with Hirschsprung's disease. Which of the following actions
should she take?
A. encourage high fiber, low protein/calorie diet
B. prepare family for surgery
C. place NG tube for decompression
D. initiate bed rest - ANSWERSB
A nurse is caring for an infant who has returned from PACU following cleft lip and palate
repair. Which of the following actions should the nurse take?
A. remove the packing in the mouth
B. place infant in upright position
C. offer pacifier with sucrose
D. assess the mouth with tongue blade - ANSWERSB
A nurse is caring for a child who has Meckel's diverticulum. Which of the following
manifestations should she expect? (Select all that apply)
A. ab pain
B. fever
C. mucous/blood in stools
D. vomiting
E. rapid, shallow breathing - ANSWERSA, C
A nurse is teaching parents about gastrointestinal reflux disease. Which should she
include? (Select all that apply)
A. offer frequent feedings
B. thicken formula w rice cereal
C. use a bottle with a one way valve
D. position baby upright after feedings
E. use wide based nipple for feedings - ANSWERSA, B, D