NUR 402> Chapter 24: The Child with Gastroint
b b b b b b b
estinal Dysfunction Exam 4 LATEST.
b b b bb
Chapterb24:bThebChildbwithbGastrointestinalbDysfunctionb
MULTIPLEbCHOICE
1. Whichbconditionbinbabchildbshouldbalertbabnursebforbincreasedbfluidbrequirements?b
a.bFever
b.bMechanicalbventilationb
c.bCongestivebheartbfailure
d.bIncreasedbintracranialbpressureb(ICP)b
ANS:bA
Feverbleadsbtobgreatbinsensiblebfluidblossbinbyoungbchildrenbbecausebofbincreasedbbodybsurf
acebareabrelativebtobfluidbvolume.bRespiratorybratebinfluencesbinsensiblebfluidblossbandbshoul
dbbebmonitoredbinbthebmechanicallybventilatedbchild.bCongestivebheartbfailurebisbabcasebofbflui
dboverloadbinbchildren.bIncreasedbICPbdoesbnotbleadbtobincreasedbfluidbrequirementsbinbchildr
en.
PTS:b1bDIF:bCognitivebLevel:bUnderstandbREF:b763bTOP
:bIntegratedbProcess:bNursingbProcess:bAssessment
MSC:bAreabofbClientbNeeds:bPhysiologicbIntegrity:bReductionbofbRiskbPotential
2. Abnursebisbconductingbanbin-
servicebonbgastrointestinalbdisorders.bThebnursebincludesbthatbmelena,bthebpassagebofbblack,b
tarrybstools,bsuggestsbbleedingbfrombwhichbarea?
a. Perianalborbrectalbarea
b. Hemorrhoidsborb analb fissuresb
c.bUpperbgastrointestinalb(GI)btractb
d.bLowerbGIbtract
ANS:bC
MelenabisbdenaturedbbloodbfrombthebupperbGIbtractborbbleedingbfrombthebrightbcolon.bBloodbfro
mbthebperianalborbrectalbarea,bhemorrhoids,borblowerbGIbtractbwouldbbebbrightbred.
PTS:b1bDIF:bCognitivebLevel:bApplybREF:b792b
TOP:bIntegratedbProcess:bTeaching/Learning
MSC:bAreabofbClientbNeeds:bPhysiologicbIntegrity:bReductionbofbRiskbPotential
3. Whichbtypebofbdehydrationbisbdefinedbasb“dehydrationbthatboccursbinbconditionsbinbwhichb
electrolytebandbwaterbdeficitsbarebpresentbinbapproximatelybbalancedbproportion”?
a. Isotonicbbbdehydrationb
b.bHypotonicbdehydrationb
c.bHypertonicbdehydration
d.bAllbtypesbofbdehydrationbinbinfantsbandbsmallbchildrenb
ANS:bA
Isotonicbdehydrationbisbthebcorrectbtermbforbthisbdefinitionbandbisbthebmostbfrequentbformbofbdeh
ydrationbinbchildren.bHypotonicbdehydrationboccursbwhenbthebelectrolytebdeficitbexceedsbthebw
aterbdeficit,bleavingbthebserumbhypotonic.bHypertonicbdehydrationbresultsbfrombwaterblossbinbexc
essbofbelectrolyteblossbandbisbusuallybcausedbbybabproportionatelyblargerblossbofbwaterborbablarg
erbintakebofbelectrolytes.bThisbdefinitionbisbspecificbtobisotonicbdehydration.
,NUR 402> Chapter 24: The Child with Gastroint
b b b b b b b
estinal Dysfunction Exam 4 LATEST.
b b b bb
PTS:b1bDIF:bCognitivebLevel:bUnderstandbREF:b767bTOP
:bIntegratedbProcess:bNursingbProcess:bAssessment
MSC:bAreabofbClientbNeeds:bPhysiologicbIntegrity:bReductionbofbRiskbPotential
4. Abnursebisbadmittingbanbinfantbwithbdehydrationbcausedbfrombwaterblossbinbexcessbofb
electrolytebloss.bWhichbtypebofbdehydrationbisbthisbinfantbexperiencing?
a. Isotonicb b.
bIsosmoticbc.b
Hypotonicbd.b
HypertonicA b
NS:bD
Hypertonicbdehydrationbresultsbfrombwaterblossbinbexcessbofbelectrolytebloss.bThisbisbthebmostbda
ngerousbtypebofbdehydration.bItbisbcausedbbybfeedingbchildrenbfluidsbwithbhighbamountsbofbsolute
.bIsotonicbdehydrationboccursbinbconditionsbinbwhichbelectrolytebandbwaterbdeficitsbarebpresentbin
bbalancedbproportionbandbisbanotherbtermbforbisotonicbdehydration.bHypotonicbdehydrationboccu
rsbwhenbthebelectrolytebdeficitbexceedsbthebwaterbdeficit,bleavingbthebserumbhypotonic.
PTS:b1bDIF:bCognitivebLevel:bUnderstandbREF:b767bTOP
:bIntegratedbProcess:bNursingbProcess:bAssessment
MSC:bAreabofbClientbNeeds:bPhysiologicbIntegrity:bReductionbofbRiskbPotential
5. Anbinfantbisbbroughtbtobthebemergencybdepartmentbwithbdehydration.bWhichbphysicalb
assessmentbfindingbdoesbthebnursebexpect?
a. Weightbgainb
b.bBradycardia
c.bPoorb skinb turgorb
d.bBriskbcapillarybrefillb
ANS:bC
Clinicalbmanifestationsbofbdehydrationbincludebpoorbskinbturgor,bweightbloss,blethargy,bandbtac
hycardia.bThebinfantbwouldbhavebprolongedbcapillarybrefill,bnotbbrisk.
PTS:b1bDIF:bCognitivebLevel:bUnderstandbREF:b767bTOP
:bIntegratedbProcess:bNursingbProcess:bAssessment
MSC:bAreabofbClientbNeeds:bPhysiologicbIntegrity:bPhysiologicbAdaptation
6. Parentsbcallbthebclinicbandbreportbthatbtheirbtoddlerbhasbhadbacutebdiarrheabforb24bhours.b
Thebnursebshouldbfurtherbaskbthebparentsbifbthebtoddlerbhasbwhichbassociatedbfactorbthatbisb
causingbthebacutebdiarrhea?
a. Celiacb diseasebb
.bAntibioticbtherapy
c.bImmunodeficiencyb
d.bProteinbmalnutritionb
ANS:bB
Acutebdiarrheabisbabsuddenbincreasebinbfrequencybandbchangebinbconsistencybofbstoolsbandb
maybbebassociatedbwithbantibioticbtherapy.bCeliacbdiseasebisbabproblembwithbglutenbintoleran
cebandbmaybcausebchronicbdiarrheabifbnotbidentifiedbandbmanagedbappropriately.bImmunode
ficiencybwouldboccurbwithbchronicbdiarrhea.bProteinbmalnutritionborbkwashiorkorbcausesbchro
nicbdiarrheabfrombloweredbresistancebtobinfection.
,NUR 402> Chapter 24: The Child with Gastroint
b b b b b b b
estinal Dysfunction Exam 4 LATEST.
b b b bb
PTS:b1bDIF:bCognitivebLevel:bApplybREF:b772
TOP:bIntegratedbProcess:bNursingbProcess:bAssessment
MSC:bAreabofbClientbNeeds:bPhysiologicbIntegrity:bPhysiologicbAdaptation
7. Whichbpathogenbisbthebviralbpathogenbthatbfrequentlybcausesbacutebdiarrheabinbyoungb
children?
a. Giardiaborganismsb
b.bShigellaborganismsb
c.bRotavirus
d.bSalmonellaborganismsb
ANS:bC
Rotavirusbisbthebmostbfrequentbviralbpathogenbthatbcausesbdiarrheabinbyoungbchildren.bGiardiab
(parasite)bandbSalmonellabarebbacterialbpathogensbthatbcausebdiarrhea.bShigellabisbabbacterialb
pathogenbthatbisbuncommonbinbthebUnitedbStates.
PTS:b1bDIF:bCognitivebLevel:bUnderstandbREF:b772bTOP
:bIntegratedbProcess:bNursingbProcess:bAssessment
MSC:bAreabofbClientbNeeds:bPhysiologicbIntegrity:bPhysiologicbAdaptation
8. Whichbisbabparasitebthatbcausesbacutebdiarrhea?b
a.bShigellaborganisms
b.bSalmonellaborganismsb
c.bGiardiablamblia
d.bEscherichiabcolib
ANS:bC
G.blambliabisbabparasitebthatbrepresentsb10%bofbnon-
dysentericbillnessbinbthebUnitedbStates.bShigella,bSalmonella,bandbE.bcolibarebbacterialbpathog
ens.
PTS:b1bDIF:bCognitivebLevel:bUnderstandbREF:b775bTOP
:bIntegratedbProcess:bNursingbProcess:bAssessment
MSC:bAreabofbClientbNeeds:bPhysiologicbIntegrity:bPhysiologicbAdaptation
9. Abchildbisbadmittedbwithbbacterialbgastroenteritis.bWhichblabbresultsbofbabstoolbspecimenb
confirmbthisbdiagnosis?
a. Eosinophilsb b.
bOccultbbloodbc.b
pHblessbthanb6
d.bNeutrophilsbandbredbbloodbcellsb
ANS:bD
Neutrophilsbandbredbbloodbcellsbinbstoolbindicatebbacterialbgastroenteritis.bProteinbintoleranceba
ndbparasiticbinfectionsbarebsuspectedbinbthebpresencebofbeosinophils.bOccultbbloodbmaybindica
tebpathogensbsuchbasbShigella,bCampylobacter,borbhemorrhagicbEscherichiabcolibstrains.bAbp
Hbofblessbthanb6bmaybindicatebcarbohydratebmalabsorptionborbsecondaryblactasebinsufficiency
.
PTS:b1bDIF:bCognitivebLevel:bUnderstandbREF:b775bTO
P:bIntegratedbProcess:bNursingbProcess:bEvaluation
MSC:bAreabofbClientbNeeds:bPhysiologicbIntegrity:bReductionbofbRiskbPotential
10. Whichbtherapeuticbmanagementbshouldbthebnursebpreparebtobinitiatebfirstbforbabchildbwithb
acutebdiarrheabandbmoderatebdehydration?
a. Clearbliquids
, NUR 402> Chapter 24: The Child with Gastroint
b b b b b b b
estinal Dysfunction Exam 4 LATEST.
b b b bb
b. Adsorbents,bsuchbasbkaolinbandbpectinb
c.bOralbrehydrationbsolutionb(ORS)
d.bAntidiarrhealbmedicationsbsuchbasbparegoricb
ANS:bC
ORSbisbthebfirstbtreatmentbforbacutebdiarrhea.bClearbliquidsbarebnotbrecommendedbbecausebth
eybcontainbtoobmuchbsugar,bwhichbmaybcontributebtobdiarrhea.bAdsorbentsbarebnotbrecomme
nded.bAntidiarrhealsbarebnotbrecommendedbbecausebtheybdobnotbgetbridbofbpathogens.
PTS:b1bDIF:bCognitivebLevel:bApplybREF:b775
TOP:bIntegratedbProcess:bNursingbProcess:bImplementation
MSC:bAreabofbClientbNeeds:bPhysiologicbIntegrity:bReductionbofbRiskbPotential
11. Abschool-
agebchildbwithbdiarrheabhasbbeenbrehydrated.bThebnursebisbdiscussingbthebchild’sbdietbwithbthebf
amily.bWhichbstatementbbybthebparentbwouldbindicatebabcorrectbunderstandingbofbthebteaching?
a. “Ibwillbkeepbmybchildbonbabclearbliquidbdietbforbthebnextb24bhours.”
b. “Ibshouldbencouragebmybchildbtobdrinkbcarbonatedbdrinksbbutbavoidbfoodbforbthebnextb24b
hours.”
c. “Ibwillbofferbmybchildbbananas,brice,bapplesauce,bandbtoastbforbthebnextb48bhours.”
d. “Ibshouldbhavebmybchildbeatbabnormalbdietbwithbeasilybdigestedbfoodsbforbthebnextb48bhours.”b
ANS:bD
Easilybdigestedbfoodsbsuchbasbcereals,bcookedbvegetables,bandbmeatsbshouldbbebprovidedbforbt
hebchild.bEarlybreintroductionbofbnutrientsbisbdesirable.bContinuedbfeedingborbreintroductionbofbab
regularbdietbhasbnobadversebeffectsbandbactuallyblessensbthebseveritybandbdurationbofbthebillnes
s.bClearbliquidsbandbcarbonatedbdrinksbhavebhighbcarbohydratebcontentbandbfewbelectrolytes.b
Caffeinatedbbeveragesbshouldbbebavoidedbbecausebcaffeinebisbabmildbdiuretic.
ThebBRATbdietbhasblittlebnutritionalbvaluebandbisbhighbinbcarbohydrates.
PTS:b1bDIF:bCognitivebLevel:bApplybREF:b775-
776bTOP:bIntegratedbProcess:bTeaching/Learning
MSC:bAreabofbClientbNeeds:bPhysiologicbIntegrity:bBasicbCarebandbComfort
12. Abyoungbchildbisbbroughtbtobthebemergencybdepartmentbwithbseverebdehydrationbseco
ndarybtobacutebdiarrheabandbvomiting.bTherapeuticbmanagementbofbthisbchildbshouldbbegi
nbwith:
a.bintravenousb(IV)bfluids.b
b.bORS.
c.bclearbliquids,b1btob2bouncesbatbabtime.
d.badministrationbofbantidiarrhealbmedication.b
ANS:bA
Inbchildrenbwithbseverebdehydration,bIVbfluidsbarebinitiated.bORSbisbacceptablebtherapybifbtheb
dehydrationbisbnotbsevere.bDiarrheabisbnotbmanagedbbybusingbclearbliquidsbbybmouth.bThesebf
luidsbhavebabhighbcarbohydratebcontent,blowbelectrolytebcontent,bandbhighbosmolality.
Antidiarrhealbmedicationsbarebnotbrecommendedbforbthebtreatmentbofbacutebinfectiousb
diarrhea.
PTS:b1bDIF:bCognitivebLevel:bApplybREF:b776
TOP:bIntegratedbProcess:bNursingbProcess:bImplementation
MSC:bAreabofbClientbNeeds:bPhysiologicbIntegrity:bPhysiologicbAdaptation
b b b b b b b
estinal Dysfunction Exam 4 LATEST.
b b b bb
Chapterb24:bThebChildbwithbGastrointestinalbDysfunctionb
MULTIPLEbCHOICE
1. Whichbconditionbinbabchildbshouldbalertbabnursebforbincreasedbfluidbrequirements?b
a.bFever
b.bMechanicalbventilationb
c.bCongestivebheartbfailure
d.bIncreasedbintracranialbpressureb(ICP)b
ANS:bA
Feverbleadsbtobgreatbinsensiblebfluidblossbinbyoungbchildrenbbecausebofbincreasedbbodybsurf
acebareabrelativebtobfluidbvolume.bRespiratorybratebinfluencesbinsensiblebfluidblossbandbshoul
dbbebmonitoredbinbthebmechanicallybventilatedbchild.bCongestivebheartbfailurebisbabcasebofbflui
dboverloadbinbchildren.bIncreasedbICPbdoesbnotbleadbtobincreasedbfluidbrequirementsbinbchildr
en.
PTS:b1bDIF:bCognitivebLevel:bUnderstandbREF:b763bTOP
:bIntegratedbProcess:bNursingbProcess:bAssessment
MSC:bAreabofbClientbNeeds:bPhysiologicbIntegrity:bReductionbofbRiskbPotential
2. Abnursebisbconductingbanbin-
servicebonbgastrointestinalbdisorders.bThebnursebincludesbthatbmelena,bthebpassagebofbblack,b
tarrybstools,bsuggestsbbleedingbfrombwhichbarea?
a. Perianalborbrectalbarea
b. Hemorrhoidsborb analb fissuresb
c.bUpperbgastrointestinalb(GI)btractb
d.bLowerbGIbtract
ANS:bC
MelenabisbdenaturedbbloodbfrombthebupperbGIbtractborbbleedingbfrombthebrightbcolon.bBloodbfro
mbthebperianalborbrectalbarea,bhemorrhoids,borblowerbGIbtractbwouldbbebbrightbred.
PTS:b1bDIF:bCognitivebLevel:bApplybREF:b792b
TOP:bIntegratedbProcess:bTeaching/Learning
MSC:bAreabofbClientbNeeds:bPhysiologicbIntegrity:bReductionbofbRiskbPotential
3. Whichbtypebofbdehydrationbisbdefinedbasb“dehydrationbthatboccursbinbconditionsbinbwhichb
electrolytebandbwaterbdeficitsbarebpresentbinbapproximatelybbalancedbproportion”?
a. Isotonicbbbdehydrationb
b.bHypotonicbdehydrationb
c.bHypertonicbdehydration
d.bAllbtypesbofbdehydrationbinbinfantsbandbsmallbchildrenb
ANS:bA
Isotonicbdehydrationbisbthebcorrectbtermbforbthisbdefinitionbandbisbthebmostbfrequentbformbofbdeh
ydrationbinbchildren.bHypotonicbdehydrationboccursbwhenbthebelectrolytebdeficitbexceedsbthebw
aterbdeficit,bleavingbthebserumbhypotonic.bHypertonicbdehydrationbresultsbfrombwaterblossbinbexc
essbofbelectrolyteblossbandbisbusuallybcausedbbybabproportionatelyblargerblossbofbwaterborbablarg
erbintakebofbelectrolytes.bThisbdefinitionbisbspecificbtobisotonicbdehydration.
,NUR 402> Chapter 24: The Child with Gastroint
b b b b b b b
estinal Dysfunction Exam 4 LATEST.
b b b bb
PTS:b1bDIF:bCognitivebLevel:bUnderstandbREF:b767bTOP
:bIntegratedbProcess:bNursingbProcess:bAssessment
MSC:bAreabofbClientbNeeds:bPhysiologicbIntegrity:bReductionbofbRiskbPotential
4. Abnursebisbadmittingbanbinfantbwithbdehydrationbcausedbfrombwaterblossbinbexcessbofb
electrolytebloss.bWhichbtypebofbdehydrationbisbthisbinfantbexperiencing?
a. Isotonicb b.
bIsosmoticbc.b
Hypotonicbd.b
HypertonicA b
NS:bD
Hypertonicbdehydrationbresultsbfrombwaterblossbinbexcessbofbelectrolytebloss.bThisbisbthebmostbda
ngerousbtypebofbdehydration.bItbisbcausedbbybfeedingbchildrenbfluidsbwithbhighbamountsbofbsolute
.bIsotonicbdehydrationboccursbinbconditionsbinbwhichbelectrolytebandbwaterbdeficitsbarebpresentbin
bbalancedbproportionbandbisbanotherbtermbforbisotonicbdehydration.bHypotonicbdehydrationboccu
rsbwhenbthebelectrolytebdeficitbexceedsbthebwaterbdeficit,bleavingbthebserumbhypotonic.
PTS:b1bDIF:bCognitivebLevel:bUnderstandbREF:b767bTOP
:bIntegratedbProcess:bNursingbProcess:bAssessment
MSC:bAreabofbClientbNeeds:bPhysiologicbIntegrity:bReductionbofbRiskbPotential
5. Anbinfantbisbbroughtbtobthebemergencybdepartmentbwithbdehydration.bWhichbphysicalb
assessmentbfindingbdoesbthebnursebexpect?
a. Weightbgainb
b.bBradycardia
c.bPoorb skinb turgorb
d.bBriskbcapillarybrefillb
ANS:bC
Clinicalbmanifestationsbofbdehydrationbincludebpoorbskinbturgor,bweightbloss,blethargy,bandbtac
hycardia.bThebinfantbwouldbhavebprolongedbcapillarybrefill,bnotbbrisk.
PTS:b1bDIF:bCognitivebLevel:bUnderstandbREF:b767bTOP
:bIntegratedbProcess:bNursingbProcess:bAssessment
MSC:bAreabofbClientbNeeds:bPhysiologicbIntegrity:bPhysiologicbAdaptation
6. Parentsbcallbthebclinicbandbreportbthatbtheirbtoddlerbhasbhadbacutebdiarrheabforb24bhours.b
Thebnursebshouldbfurtherbaskbthebparentsbifbthebtoddlerbhasbwhichbassociatedbfactorbthatbisb
causingbthebacutebdiarrhea?
a. Celiacb diseasebb
.bAntibioticbtherapy
c.bImmunodeficiencyb
d.bProteinbmalnutritionb
ANS:bB
Acutebdiarrheabisbabsuddenbincreasebinbfrequencybandbchangebinbconsistencybofbstoolsbandb
maybbebassociatedbwithbantibioticbtherapy.bCeliacbdiseasebisbabproblembwithbglutenbintoleran
cebandbmaybcausebchronicbdiarrheabifbnotbidentifiedbandbmanagedbappropriately.bImmunode
ficiencybwouldboccurbwithbchronicbdiarrhea.bProteinbmalnutritionborbkwashiorkorbcausesbchro
nicbdiarrheabfrombloweredbresistancebtobinfection.
,NUR 402> Chapter 24: The Child with Gastroint
b b b b b b b
estinal Dysfunction Exam 4 LATEST.
b b b bb
PTS:b1bDIF:bCognitivebLevel:bApplybREF:b772
TOP:bIntegratedbProcess:bNursingbProcess:bAssessment
MSC:bAreabofbClientbNeeds:bPhysiologicbIntegrity:bPhysiologicbAdaptation
7. Whichbpathogenbisbthebviralbpathogenbthatbfrequentlybcausesbacutebdiarrheabinbyoungb
children?
a. Giardiaborganismsb
b.bShigellaborganismsb
c.bRotavirus
d.bSalmonellaborganismsb
ANS:bC
Rotavirusbisbthebmostbfrequentbviralbpathogenbthatbcausesbdiarrheabinbyoungbchildren.bGiardiab
(parasite)bandbSalmonellabarebbacterialbpathogensbthatbcausebdiarrhea.bShigellabisbabbacterialb
pathogenbthatbisbuncommonbinbthebUnitedbStates.
PTS:b1bDIF:bCognitivebLevel:bUnderstandbREF:b772bTOP
:bIntegratedbProcess:bNursingbProcess:bAssessment
MSC:bAreabofbClientbNeeds:bPhysiologicbIntegrity:bPhysiologicbAdaptation
8. Whichbisbabparasitebthatbcausesbacutebdiarrhea?b
a.bShigellaborganisms
b.bSalmonellaborganismsb
c.bGiardiablamblia
d.bEscherichiabcolib
ANS:bC
G.blambliabisbabparasitebthatbrepresentsb10%bofbnon-
dysentericbillnessbinbthebUnitedbStates.bShigella,bSalmonella,bandbE.bcolibarebbacterialbpathog
ens.
PTS:b1bDIF:bCognitivebLevel:bUnderstandbREF:b775bTOP
:bIntegratedbProcess:bNursingbProcess:bAssessment
MSC:bAreabofbClientbNeeds:bPhysiologicbIntegrity:bPhysiologicbAdaptation
9. Abchildbisbadmittedbwithbbacterialbgastroenteritis.bWhichblabbresultsbofbabstoolbspecimenb
confirmbthisbdiagnosis?
a. Eosinophilsb b.
bOccultbbloodbc.b
pHblessbthanb6
d.bNeutrophilsbandbredbbloodbcellsb
ANS:bD
Neutrophilsbandbredbbloodbcellsbinbstoolbindicatebbacterialbgastroenteritis.bProteinbintoleranceba
ndbparasiticbinfectionsbarebsuspectedbinbthebpresencebofbeosinophils.bOccultbbloodbmaybindica
tebpathogensbsuchbasbShigella,bCampylobacter,borbhemorrhagicbEscherichiabcolibstrains.bAbp
Hbofblessbthanb6bmaybindicatebcarbohydratebmalabsorptionborbsecondaryblactasebinsufficiency
.
PTS:b1bDIF:bCognitivebLevel:bUnderstandbREF:b775bTO
P:bIntegratedbProcess:bNursingbProcess:bEvaluation
MSC:bAreabofbClientbNeeds:bPhysiologicbIntegrity:bReductionbofbRiskbPotential
10. Whichbtherapeuticbmanagementbshouldbthebnursebpreparebtobinitiatebfirstbforbabchildbwithb
acutebdiarrheabandbmoderatebdehydration?
a. Clearbliquids
, NUR 402> Chapter 24: The Child with Gastroint
b b b b b b b
estinal Dysfunction Exam 4 LATEST.
b b b bb
b. Adsorbents,bsuchbasbkaolinbandbpectinb
c.bOralbrehydrationbsolutionb(ORS)
d.bAntidiarrhealbmedicationsbsuchbasbparegoricb
ANS:bC
ORSbisbthebfirstbtreatmentbforbacutebdiarrhea.bClearbliquidsbarebnotbrecommendedbbecausebth
eybcontainbtoobmuchbsugar,bwhichbmaybcontributebtobdiarrhea.bAdsorbentsbarebnotbrecomme
nded.bAntidiarrhealsbarebnotbrecommendedbbecausebtheybdobnotbgetbridbofbpathogens.
PTS:b1bDIF:bCognitivebLevel:bApplybREF:b775
TOP:bIntegratedbProcess:bNursingbProcess:bImplementation
MSC:bAreabofbClientbNeeds:bPhysiologicbIntegrity:bReductionbofbRiskbPotential
11. Abschool-
agebchildbwithbdiarrheabhasbbeenbrehydrated.bThebnursebisbdiscussingbthebchild’sbdietbwithbthebf
amily.bWhichbstatementbbybthebparentbwouldbindicatebabcorrectbunderstandingbofbthebteaching?
a. “Ibwillbkeepbmybchildbonbabclearbliquidbdietbforbthebnextb24bhours.”
b. “Ibshouldbencouragebmybchildbtobdrinkbcarbonatedbdrinksbbutbavoidbfoodbforbthebnextb24b
hours.”
c. “Ibwillbofferbmybchildbbananas,brice,bapplesauce,bandbtoastbforbthebnextb48bhours.”
d. “Ibshouldbhavebmybchildbeatbabnormalbdietbwithbeasilybdigestedbfoodsbforbthebnextb48bhours.”b
ANS:bD
Easilybdigestedbfoodsbsuchbasbcereals,bcookedbvegetables,bandbmeatsbshouldbbebprovidedbforbt
hebchild.bEarlybreintroductionbofbnutrientsbisbdesirable.bContinuedbfeedingborbreintroductionbofbab
regularbdietbhasbnobadversebeffectsbandbactuallyblessensbthebseveritybandbdurationbofbthebillnes
s.bClearbliquidsbandbcarbonatedbdrinksbhavebhighbcarbohydratebcontentbandbfewbelectrolytes.b
Caffeinatedbbeveragesbshouldbbebavoidedbbecausebcaffeinebisbabmildbdiuretic.
ThebBRATbdietbhasblittlebnutritionalbvaluebandbisbhighbinbcarbohydrates.
PTS:b1bDIF:bCognitivebLevel:bApplybREF:b775-
776bTOP:bIntegratedbProcess:bTeaching/Learning
MSC:bAreabofbClientbNeeds:bPhysiologicbIntegrity:bBasicbCarebandbComfort
12. Abyoungbchildbisbbroughtbtobthebemergencybdepartmentbwithbseverebdehydrationbseco
ndarybtobacutebdiarrheabandbvomiting.bTherapeuticbmanagementbofbthisbchildbshouldbbegi
nbwith:
a.bintravenousb(IV)bfluids.b
b.bORS.
c.bclearbliquids,b1btob2bouncesbatbabtime.
d.badministrationbofbantidiarrhealbmedication.b
ANS:bA
Inbchildrenbwithbseverebdehydration,bIVbfluidsbarebinitiated.bORSbisbacceptablebtherapybifbtheb
dehydrationbisbnotbsevere.bDiarrheabisbnotbmanagedbbybusingbclearbliquidsbbybmouth.bThesebf
luidsbhavebabhighbcarbohydratebcontent,blowbelectrolytebcontent,bandbhighbosmolality.
Antidiarrhealbmedicationsbarebnotbrecommendedbforbthebtreatmentbofbacutebinfectiousb
diarrhea.
PTS:b1bDIF:bCognitivebLevel:bApplybREF:b776
TOP:bIntegratedbProcess:bNursingbProcess:bImplementation
MSC:bAreabofbClientbNeeds:bPhysiologicbIntegrity:bPhysiologicbAdaptation
