NURS 402 Chapter 24: The Child with
Gastrointestinal Dysfunction Full exam
Q&A) new update 2022/2023
Chapter 24: The Child with
Gastrointestinal Dysfunction
MULTIPLE CHOICE
A histamine-receptor antagonist such as cimetidine
(Tagamet) or ranitidine (Zantac) is ordered for an infant
with GER. The purpose of this is to:
a. prevent reflux.
b. prevent hematemesis.
c. reduce gastric acid production.
d. increase gastric acid
production. ANS: C
The mechanism of action of histamine-receptor antagonists
is to reduce the amount of acid present in gastric contents
and perhaps prevent esophagitis. Preventing reflux or
hematemesis and increasing gastric acid production are
not the modes of action of histamine-receptor antagonists.
PTS: 1 DIF: Cognitive Level:
Understand REF: 783 TOP:
Integrated Process: Nursing
Process: Evaluation
MSC: Area of Client Needs: Physiologic Integrity:
NURS 402 Chapter 24: The Child with
Gastrointestinal Dysfunction Full exam
Q&A) new update 2022/2023
,NURS 402 Chapter 24: The Child with
Gastrointestinal Dysfunction Full exam
Q&A) new update 2022/2023
Pharmacologic and Parenteral Therapies
Which clinical manifestation would be the most suggestive
of acute appendicitis?
a. Rebound tenderness
b. Bright red or dark red rectal bleeding
c. Abdominal pain that is relieved by eating
d. Abdominal pain that is most
intense at McBurney point ANS: D
Pain is the cardinal feature. It is initially generalized, usually
periumbilical. The pain localizes to the right lower quadrant
at McBurney point. Rebound tenderness is not a reliable sign
and is extremely painful to the child. Bright red or dark red
rectal bleeding and abdominal pain that is relieved by eating
are not signs of acute appendicitis.
PTS: 1 DIF: Cognitive Level:
Understand REF: 785 TOP:
Integrated Process: Nursing Process:
Assessment
MSC: Area of Client Needs: Physiologic Integrity: Physiologic
Adaptation
NURS 402 Chapter 24: The Child with
Gastrointestinal Dysfunction Full exam
Q&A) new update 2022/2023
,NURS 402 Chapter 24: The Child with
Gastrointestinal Dysfunction Full exam
Q&A) new update 2022/2023
When caring for a child with probable appendicitis, the
nurse should be alert to recognize that which condition or
symptom is a sign of perforation?
a. Bradycardia
b. Anorexia
c. Sudden relief from pain
d. Decreased
abdominal distention
ANS: C
Signs of peritonitis, in addition to fever, include sudden
relief from pain after perforation. Tachycardia, not
bradycardia, is a manifestation of peritonitis. Anorexia is
already a clinical manifestation of appendicitis. Abdominal
distention usually increases.
PTS: 1 DIF: Cognitive Level:
Understand REF: 786 TOP:
Integrated Process: Nursing Process:
Assessment
MSC: Area of Client Needs: Physiologic Integrity: Physiologic
Adaptation
The nurse is caring for a child admitted with acute
NURS 402 Chapter 24: The Child with
Gastrointestinal Dysfunction Full exam
Q&A) new update 2022/2023
, NURS 402 Chapter 24: The Child with
Gastrointestinal Dysfunction Full exam
Q&A) new update 2022/2023
abdominal pain and possible appendicitis. Which is
appropriate to relieve the abdominal discomfort?
a. Place in Trendelenburg position.
b. Allow to assume position of comfort.
c. Apply moist heat to the abdomen.
d. Administer a saline enema to
cleanse bowel. ANS: B
The child should be allowed to take a position of comfort,
usually with the legs flexed. The Trendelenburg position will
not help with the discomfort. In any instance in which
appendicitis is a possibility, there is a danger in
administering a laxative or enemas or applying heat to the
area. Such measures stimulate bowel motility and increase
the risk of perforation.
PTS: 1 DIF: Cognitive Level: Apply REF: 787
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Physiologic Integrity: Physiologic
Adaptation
A nurse is conducting an in-service on childhood
gastrointestinal disorders. Which statement is most
descriptive of Meckel diverticulum?
NURS 402 Chapter 24: The Child with
Gastrointestinal Dysfunction Full exam
Q&A) new update 2022/2023
Gastrointestinal Dysfunction Full exam
Q&A) new update 2022/2023
Chapter 24: The Child with
Gastrointestinal Dysfunction
MULTIPLE CHOICE
A histamine-receptor antagonist such as cimetidine
(Tagamet) or ranitidine (Zantac) is ordered for an infant
with GER. The purpose of this is to:
a. prevent reflux.
b. prevent hematemesis.
c. reduce gastric acid production.
d. increase gastric acid
production. ANS: C
The mechanism of action of histamine-receptor antagonists
is to reduce the amount of acid present in gastric contents
and perhaps prevent esophagitis. Preventing reflux or
hematemesis and increasing gastric acid production are
not the modes of action of histamine-receptor antagonists.
PTS: 1 DIF: Cognitive Level:
Understand REF: 783 TOP:
Integrated Process: Nursing
Process: Evaluation
MSC: Area of Client Needs: Physiologic Integrity:
NURS 402 Chapter 24: The Child with
Gastrointestinal Dysfunction Full exam
Q&A) new update 2022/2023
,NURS 402 Chapter 24: The Child with
Gastrointestinal Dysfunction Full exam
Q&A) new update 2022/2023
Pharmacologic and Parenteral Therapies
Which clinical manifestation would be the most suggestive
of acute appendicitis?
a. Rebound tenderness
b. Bright red or dark red rectal bleeding
c. Abdominal pain that is relieved by eating
d. Abdominal pain that is most
intense at McBurney point ANS: D
Pain is the cardinal feature. It is initially generalized, usually
periumbilical. The pain localizes to the right lower quadrant
at McBurney point. Rebound tenderness is not a reliable sign
and is extremely painful to the child. Bright red or dark red
rectal bleeding and abdominal pain that is relieved by eating
are not signs of acute appendicitis.
PTS: 1 DIF: Cognitive Level:
Understand REF: 785 TOP:
Integrated Process: Nursing Process:
Assessment
MSC: Area of Client Needs: Physiologic Integrity: Physiologic
Adaptation
NURS 402 Chapter 24: The Child with
Gastrointestinal Dysfunction Full exam
Q&A) new update 2022/2023
,NURS 402 Chapter 24: The Child with
Gastrointestinal Dysfunction Full exam
Q&A) new update 2022/2023
When caring for a child with probable appendicitis, the
nurse should be alert to recognize that which condition or
symptom is a sign of perforation?
a. Bradycardia
b. Anorexia
c. Sudden relief from pain
d. Decreased
abdominal distention
ANS: C
Signs of peritonitis, in addition to fever, include sudden
relief from pain after perforation. Tachycardia, not
bradycardia, is a manifestation of peritonitis. Anorexia is
already a clinical manifestation of appendicitis. Abdominal
distention usually increases.
PTS: 1 DIF: Cognitive Level:
Understand REF: 786 TOP:
Integrated Process: Nursing Process:
Assessment
MSC: Area of Client Needs: Physiologic Integrity: Physiologic
Adaptation
The nurse is caring for a child admitted with acute
NURS 402 Chapter 24: The Child with
Gastrointestinal Dysfunction Full exam
Q&A) new update 2022/2023
, NURS 402 Chapter 24: The Child with
Gastrointestinal Dysfunction Full exam
Q&A) new update 2022/2023
abdominal pain and possible appendicitis. Which is
appropriate to relieve the abdominal discomfort?
a. Place in Trendelenburg position.
b. Allow to assume position of comfort.
c. Apply moist heat to the abdomen.
d. Administer a saline enema to
cleanse bowel. ANS: B
The child should be allowed to take a position of comfort,
usually with the legs flexed. The Trendelenburg position will
not help with the discomfort. In any instance in which
appendicitis is a possibility, there is a danger in
administering a laxative or enemas or applying heat to the
area. Such measures stimulate bowel motility and increase
the risk of perforation.
PTS: 1 DIF: Cognitive Level: Apply REF: 787
TOP: Integrated Process: Nursing Process: Planning
MSC: Area of Client Needs: Physiologic Integrity: Physiologic
Adaptation
A nurse is conducting an in-service on childhood
gastrointestinal disorders. Which statement is most
descriptive of Meckel diverticulum?
NURS 402 Chapter 24: The Child with
Gastrointestinal Dysfunction Full exam
Q&A) new update 2022/2023
