Answers
The nurse is caring for a 4-year-old with oral vesicles and "Offer 'magic mouthwash' followed by a popsicle."
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?
"Try some Anbesol or Kank-A."
"Offer him some orange juice."
"Encourage him to have some soda."
"Offer 'magic mouthwash' followed by a popsicle."
A child is scheduled for a urea breath test. The nurse detect Helicobacter pylori
understands that this test is being performed for which
reason?
evaluate gastric pH
confirm pancreatitis
determine esophageal contractility
detect Helicobacter pylori
A child is hospitalized with dehydration as a result of monitor of intake and output
rotavirus. When reviewing the plan of treatment, what can daily weight assessment
the nurse anticipate will be included? Select all that IV fluid administration
apply.
monitor of intake and output
antibiotic therapy
daily weight assessment
IV fluid administration
antidiarrheal agents
An adolescent is diagnosed with hepatitis A. Which The adolescent will become fatigued easily.
problem should be considered when planning care?
The adolescent's urine will be dark and infectious.
The adolescent will become fatigued easily.
The adolescent will be very irritable and perhaps require
sedation.
Hypothermia is common.
,The nurse is caring for a 2-year-old child with a fluid deficiency risk: dehydration
gastrointestinal infection resulting in 4 to 5 liquid stools diarrhea and loss of electrolytes
per day over the past 3 days. Based on this information, the risk for skin maceration in the perineum
which important concern(s) will the nurse address in the
child's care? Select all that apply.
undernourishment risk: malnutrition
fluid deficiency risk: dehydration
diarrhea and loss of electrolytes
availability of parents to care for the child
the risk for skin maceration in the perineum
The parent reports that the health care provider said that inguinal hernia
the infant had a hernia but cannot remember which type.
When recalling what the health care provider said, the
parent said that a surgeon will repair it soon and there is
no problem with the testes. Which hernia type is
anticipated?
umbilical hernia
diaphragmatic hernia
hiatal hernia
inguinal hernia
Which assessment finding would suggest that a child's Vomiting
postoperative feeding schedule following pyloric
stenosis surgery should be slowed?
Flatulence
Vomiting
Falling asleep at each feeding
Semiformed bowel movements
The nurse is caring for an infant recently diagnosed with "I will add the nystatin to her bottle four times per day."
oral candidiasis (thrush) who has been prescribed
nystatin. Which statement by the infant's mother would
suggest a need for further education?
"I will watch for diaper rash."
"I will add the nystatin to her bottle four times per day."
"I will use a cotton tipped applicator to apply the
medication to her mouth."
"I will make sure to clean all of her toys before I give
them to her."
An 18-month-old infant is brought to the emergency gastroesophageal reflux disease.
department with flu-like symptoms. The infant is
diagnosed with pneumonia secondary to aspiration of
stomach contents. The nurse explains to the parents that
pneumonia is a condition that often occurs secondary to:
Hirschsprung disease.
inflammatory bowel disease.
gastroesophageal reflux disease.
cystic fibrosis.
, A parent brings a 2-year-old child to the health clinic with Gastroenteritis
reports of diarrhea, vomiting, and abdominal pain. The
father tells the nurse that he is a single parent and his
child is enrolled in a local day care center. Based on this
information, what gastrointestinal condition might the
nurse suspect?
Appendicitis
Gastroenteritis
Hirschsprung disease
Pancreatitis
A child is experiencing an acute exacerbation of Crohn "We should not stop this medication abruptly."
disease for which she is prescribed prednisone. The nurse
teaches the parents and child about this medication.
Which statement by the parents indicates that the
teaching was successful?
"We might notice some of the medication in her stool."
"She might lose some weight initially."
"We should not stop this medication abruptly."
"This drug helps to control the abdominal cramping."
A 6-week-old infant is diagnosed with pyloric stenosis. Vomiting immediately after feeding
When taking a health history from the parent, which
symptom would the nurse expect to hear described?
Vomiting immediately after feeding
Refusal to eat
Vomiting about 2 hours after feeding
Chronic diarrhea
In caring for an infant diagnosed with pyloric stenosis the Prepare the infant for surgery.
nurse would anticipate which intervention?
Change the infant's diet to one that is lactose-free.
Assist in insertion of a nasogastric (NG) tube.
Assist in doing a barium enema procedure on the infant.
Prepare the infant for surgery.