NUR 402> Chapter 24: The Child with Gastroint
p p p p p p p
estinal Dysfunction Exam 4 LATEST.
p p p pp
Chapterp24:pThepChildpwithpGastrointestinalpDysfunctionp
MULTIPLEpCHOICE
1. Whichpconditionpinpapchildpshouldpalertpapnursepforpincreasedpfluidprequirements?p
a.pFever
b.pMechanicalpventilationp
c.pCongestivepheartpfailure
d.pIncreasedpintracranialppressurep(ICP)p
ANS:pA
Feverpleadsptopgreatpinsensiblepfluidplosspinpyoungpchildrenpbecausepofpincreasedpbodypsurf
acepareaprelativeptopfluidpvolume.pRespiratorypratepinfluencespinsensiblepfluidplosspandpshoul
dpbepmonitoredpinpthepmechanicallypventilatedpchild.pCongestivepheartpfailurepispapcasepofpflui
dpoverloadpinpchildren.pIncreasedpICPpdoespnotpleadptopincreasedpfluidprequirementspinpchildr
en.
PTS:p1pDIF:pCognitivepLevel:pUnderstandpREF:p763pTOP
:pIntegratedpProcess:pNursingpProcess:pAssessment
MSC:pAreapofpClientpNeeds:pPhysiologicpIntegrity:pReductionpofpRiskpPotential
2. Apnursepispconductingpanpin-
serviceponpgastrointestinalpdisorders.pThepnursepincludespthatpmelena,ptheppassagepofpblack,p
tarrypstools,psuggestspbleedingpfrompwhichparea?
a. Perianalporprectalparea
b. Hemorrhoidsporp analp fissuresp
c.pUpperpgastrointestinalp(GI)ptractp
d.pLowerpGIptract
ANS:pC
MelenapispdenaturedpbloodpfrompthepupperpGIptractporpbleedingpfromptheprightpcolon.pBloodpfro
mpthepperianalporprectalparea,phemorrhoids,porplowerpGIptractpwouldpbepbrightpred.
PTS:p1pDIF:pCognitivepLevel:pApplypREF:p792p
TOP:pIntegratedpProcess:pTeaching/Learning
MSC:pAreapofpClientpNeeds:pPhysiologicpIntegrity:pReductionpofpRiskpPotential
3. Whichptypepofpdehydrationpispdefinedpasp“dehydrationpthatpoccurspinpconditionspinpwhichp
electrolytepandpwaterpdeficitspareppresentpinpapproximatelypbalancedpproportion”?
a. Isotonicpppdehydrationp
b.pHypotonicpdehydrationp
c.pHypertonicpdehydration
d.pAllptypespofpdehydrationpinpinfantspandpsmallpchildrenp
ANS:pA
Isotonicpdehydrationpispthepcorrectptermpforpthispdefinitionpandpispthepmostpfrequentpformpofpdeh
ydrationpinpchildren.pHypotonicpdehydrationpoccurspwhenpthepelectrolytepdeficitpexceedspthepw
aterpdeficit,pleavingpthepserumphypotonic.pHypertonicpdehydrationpresultspfrompwaterplosspinpexc
esspofpelectrolyteplosspandpispusuallypcausedpbypapproportionatelyplargerplosspofpwaterporpaplarg
erpintakepofpelectrolytes.pThispdefinitionpispspecificptopisotonicpdehydration.
,NUR 402> Chapter 24: The Child with Gastroint
p p p p p p p
estinal Dysfunction Exam 4 LATEST.
p p p pp
PTS:p1pDIF:pCognitivepLevel:pUnderstandpREF:p767pTOP
:pIntegratedpProcess:pNursingpProcess:pAssessment
MSC:pAreapofpClientpNeeds:pPhysiologicpIntegrity:pReductionpofpRiskpPotential
4. Apnursepispadmittingpanpinfantpwithpdehydrationpcausedpfrompwaterplosspinpexcesspofp
electrolyteploss.pWhichptypepofpdehydrationpispthispinfantpexperiencing?
a. Isotonicp b.
pIsosmoticpc.p
Hypotonicpd.p
HypertonicA p
NS:pD
Hypertonicpdehydrationpresultspfrompwaterplosspinpexcesspofpelectrolyteploss.pThispispthepmostpda
ngerousptypepofpdehydration.pItpispcausedpbypfeedingpchildrenpfluidspwithphighpamountspofpsolute
.pIsotonicpdehydrationpoccurspinpconditionspinpwhichpelectrolytepandpwaterpdeficitspareppresentpin
pbalancedpproportionpandpispanotherptermpforpisotonicpdehydration.pHypotonicpdehydrationpoccu
rspwhenpthepelectrolytepdeficitpexceedspthepwaterpdeficit,pleavingpthepserumphypotonic.
PTS:p1pDIF:pCognitivepLevel:pUnderstandpREF:p767pTOP
:pIntegratedpProcess:pNursingpProcess:pAssessment
MSC:pAreapofpClientpNeeds:pPhysiologicpIntegrity:pReductionpofpRiskpPotential
5. Anpinfantpispbroughtptopthepemergencypdepartmentpwithpdehydration.pWhichpphysicalp
assessmentpfindingpdoespthepnursepexpect?
a. Weightpgainp
b.pBradycardia
c.pPoorp skinp turgorp
d.pBriskpcapillaryprefillp
ANS:pC
Clinicalpmanifestationspofpdehydrationpincludeppoorpskinpturgor,pweightploss,plethargy,pandptac
hycardia.pThepinfantpwouldphavepprolongedpcapillaryprefill,pnotpbrisk.
PTS:p1pDIF:pCognitivepLevel:pUnderstandpREF:p767pTOP
:pIntegratedpProcess:pNursingpProcess:pAssessment
MSC:pAreapofpClientpNeeds:pPhysiologicpIntegrity:pPhysiologicpAdaptation
6. Parentspcallpthepclinicpandpreportpthatptheirptoddlerphasphadpacutepdiarrheapforp24phours.p
Thepnursepshouldpfurtherpaskpthepparentspifptheptoddlerphaspwhichpassociatedpfactorpthatpisp
causingpthepacutepdiarrhea?
a. Celiacp diseasepb
.pAntibioticptherapy
c.pImmunodeficiencyp
d.pProteinpmalnutritionp
ANS:pB
Acutepdiarrheapispapsuddenpincreasepinpfrequencypandpchangepinpconsistencypofpstoolspandp
maypbepassociatedpwithpantibioticptherapy.pCeliacpdiseasepispapproblempwithpglutenpintoleran
cepandpmaypcausepchronicpdiarrheapifpnotpidentifiedpandpmanagedpappropriately.pImmunode
ficiencypwouldpoccurpwithpchronicpdiarrhea.pProteinpmalnutritionporpkwashiorkorpcausespchro
nicpdiarrheapfromploweredpresistanceptopinfection.
,NUR 402> Chapter 24: The Child with Gastroint
p p p p p p p
estinal Dysfunction Exam 4 LATEST.
p p p pp
PTS:p1pDIF:pCognitivepLevel:pApplypREF:p772
TOP:pIntegratedpProcess:pNursingpProcess:pAssessment
MSC:pAreapofpClientpNeeds:pPhysiologicpIntegrity:pPhysiologicpAdaptation
7. Whichppathogenpispthepviralppathogenpthatpfrequentlypcausespacutepdiarrheapinpyoungp
children?
a. Giardiaporganismsp
b.pShigellaporganismsp
c.pRotavirus
d.pSalmonellaporganismsp
ANS:pC
Rotaviruspispthepmostpfrequentpviralppathogenpthatpcausespdiarrheapinpyoungpchildren.pGiardiap
(parasite)pandpSalmonellaparepbacterialppathogenspthatpcausepdiarrhea.pShigellapispapbacterialp
pathogenpthatpispuncommonpinpthepUnitedpStates.
PTS:p1pDIF:pCognitivepLevel:pUnderstandpREF:p772pTOP
:pIntegratedpProcess:pNursingpProcess:pAssessment
MSC:pAreapofpClientpNeeds:pPhysiologicpIntegrity:pPhysiologicpAdaptation
8. Whichpispapparasitepthatpcausespacutepdiarrhea?p
a.pShigellaporganisms
b.pSalmonellaporganismsp
c.pGiardiaplamblia
d.pEscherichiapcolip
ANS:pC
G.plambliapispapparasitepthatprepresentsp10%pofpnon-
dysentericpillnesspinpthepUnitedpStates.pShigella,pSalmonella,pandpE.pcoliparepbacterialppathog
ens.
PTS:p1pDIF:pCognitivepLevel:pUnderstandpREF:p775pTOP
:pIntegratedpProcess:pNursingpProcess:pAssessment
MSC:pAreapofpClientpNeeds:pPhysiologicpIntegrity:pPhysiologicpAdaptation
9. Apchildpispadmittedpwithpbacterialpgastroenteritis.pWhichplabpresultspofpapstoolpspecimenp
confirmpthispdiagnosis?
a. Eosinophilsp b.
pOccultpbloodpc.p
pHplesspthanp6
d.pNeutrophilspandpredpbloodpcellsp
ANS:pD
Neutrophilspandpredpbloodpcellspinpstoolpindicatepbacterialpgastroenteritis.pProteinpintolerancepa
ndpparasiticpinfectionsparepsuspectedpinptheppresencepofpeosinophils.pOccultpbloodpmaypindica
teppathogenspsuchpaspShigella,pCampylobacter,porphemorrhagicpEscherichiapcolipstrains.pApp
Hpofplesspthanp6pmaypindicatepcarbohydratepmalabsorptionporpsecondaryplactasepinsufficiency
.
PTS:p1pDIF:pCognitivepLevel:pUnderstandpREF:p775pTO
P:pIntegratedpProcess:pNursingpProcess:pEvaluation
MSC:pAreapofpClientpNeeds:pPhysiologicpIntegrity:pReductionpofpRiskpPotential
10. Whichptherapeuticpmanagementpshouldpthepnursepprepareptopinitiatepfirstpforpapchildpwithp
acutepdiarrheapandpmoderatepdehydration?
a. Clearpliquids
, NUR 402> Chapter 24: The Child with Gastroint
p p p p p p p
estinal Dysfunction Exam 4 LATEST.
p p p pp
b. Adsorbents,psuchpaspkaolinpandppectinp
c.pOralprehydrationpsolutionp(ORS)
d.pAntidiarrhealpmedicationspsuchpaspparegoricp
ANS:pC
ORSpispthepfirstptreatmentpforpacutepdiarrhea.pClearpliquidsparepnotprecommendedpbecausepth
eypcontainptoopmuchpsugar,pwhichpmaypcontributeptopdiarrhea.pAdsorbentsparepnotprecomme
nded.pAntidiarrhealsparepnotprecommendedpbecauseptheypdopnotpgetpridpofppathogens.
PTS:p1pDIF:pCognitivepLevel:pApplypREF:p775
TOP:pIntegratedpProcess:pNursingpProcess:pImplementation
MSC:pAreapofpClientpNeeds:pPhysiologicpIntegrity:pReductionpofpRiskpPotential
11. Apschool-
agepchildpwithpdiarrheaphaspbeenprehydrated.pThepnursepispdiscussingpthepchild’spdietpwithpthepf
amily.pWhichpstatementpbypthepparentpwouldpindicatepapcorrectpunderstandingpofpthepteaching?
a. “Ipwillpkeeppmypchildponpapclearpliquidpdietpforpthepnextp24phours.”
b. “Ipshouldpencouragepmypchildptopdrinkpcarbonatedpdrinkspbutpavoidpfoodpforpthepnextp24p
hours.”
c. “Ipwillpofferpmypchildpbananas,price,papplesauce,pandptoastpforpthepnextp48phours.”
d. “Ipshouldphavepmypchildpeatpapnormalpdietpwithpeasilypdigestedpfoodspforpthepnextp48phours.”p
ANS:pD
Easilypdigestedpfoodspsuchpaspcereals,pcookedpvegetables,pandpmeatspshouldpbepprovidedpforpt
hepchild.pEarlypreintroductionpofpnutrientspispdesirable.pContinuedpfeedingporpreintroductionpofpap
regularpdietphaspnopadversepeffectspandpactuallyplessenspthepseveritypandpdurationpofpthepillnes
s.pClearpliquidspandpcarbonatedpdrinksphavephighpcarbohydratepcontentpandpfewpelectrolytes.p
Caffeinatedpbeveragespshouldpbepavoidedpbecausepcaffeinepispapmildpdiuretic.
ThepBRATpdietphasplittlepnutritionalpvaluepandpisphighpinpcarbohydrates.
PTS:p1pDIF:pCognitivepLevel:pApplypREF:p775-
776pTOP:pIntegratedpProcess:pTeaching/Learning
MSC:pAreapofpClientpNeeds:pPhysiologicpIntegrity:pBasicpCarepandpComfort
12. Apyoungpchildpispbroughtptopthepemergencypdepartmentpwithpseverepdehydrationpseco
ndaryptopacutepdiarrheapandpvomiting.pTherapeuticpmanagementpofpthispchildpshouldpbegi
npwith:
a.pintravenousp(IV)pfluids.p
b.pORS.
c.pclearpliquids,p1ptop2pouncespatpaptime.
d.padministrationpofpantidiarrhealpmedication.p
ANS:pA
Inpchildrenpwithpseverepdehydration,pIVpfluidsparepinitiated.pORSpispacceptableptherapypifpthep
dehydrationpispnotpsevere.pDiarrheapispnotpmanagedpbypusingpclearpliquidspbypmouth.pThesepf
luidsphavepaphighpcarbohydratepcontent,plowpelectrolytepcontent,pandphighposmolality.
Antidiarrhealpmedicationsparepnotprecommendedpforptheptreatmentpofpacutepinfectiousp
diarrhea.
PTS:p1pDIF:pCognitivepLevel:pApplypREF:p776
TOP:pIntegratedpProcess:pNursingpProcess:pImplementation
MSC:pAreapofpClientpNeeds:pPhysiologicpIntegrity:pPhysiologicpAdaptation
p p p p p p p
estinal Dysfunction Exam 4 LATEST.
p p p pp
Chapterp24:pThepChildpwithpGastrointestinalpDysfunctionp
MULTIPLEpCHOICE
1. Whichpconditionpinpapchildpshouldpalertpapnursepforpincreasedpfluidprequirements?p
a.pFever
b.pMechanicalpventilationp
c.pCongestivepheartpfailure
d.pIncreasedpintracranialppressurep(ICP)p
ANS:pA
Feverpleadsptopgreatpinsensiblepfluidplosspinpyoungpchildrenpbecausepofpincreasedpbodypsurf
acepareaprelativeptopfluidpvolume.pRespiratorypratepinfluencespinsensiblepfluidplosspandpshoul
dpbepmonitoredpinpthepmechanicallypventilatedpchild.pCongestivepheartpfailurepispapcasepofpflui
dpoverloadpinpchildren.pIncreasedpICPpdoespnotpleadptopincreasedpfluidprequirementspinpchildr
en.
PTS:p1pDIF:pCognitivepLevel:pUnderstandpREF:p763pTOP
:pIntegratedpProcess:pNursingpProcess:pAssessment
MSC:pAreapofpClientpNeeds:pPhysiologicpIntegrity:pReductionpofpRiskpPotential
2. Apnursepispconductingpanpin-
serviceponpgastrointestinalpdisorders.pThepnursepincludespthatpmelena,ptheppassagepofpblack,p
tarrypstools,psuggestspbleedingpfrompwhichparea?
a. Perianalporprectalparea
b. Hemorrhoidsporp analp fissuresp
c.pUpperpgastrointestinalp(GI)ptractp
d.pLowerpGIptract
ANS:pC
MelenapispdenaturedpbloodpfrompthepupperpGIptractporpbleedingpfromptheprightpcolon.pBloodpfro
mpthepperianalporprectalparea,phemorrhoids,porplowerpGIptractpwouldpbepbrightpred.
PTS:p1pDIF:pCognitivepLevel:pApplypREF:p792p
TOP:pIntegratedpProcess:pTeaching/Learning
MSC:pAreapofpClientpNeeds:pPhysiologicpIntegrity:pReductionpofpRiskpPotential
3. Whichptypepofpdehydrationpispdefinedpasp“dehydrationpthatpoccurspinpconditionspinpwhichp
electrolytepandpwaterpdeficitspareppresentpinpapproximatelypbalancedpproportion”?
a. Isotonicpppdehydrationp
b.pHypotonicpdehydrationp
c.pHypertonicpdehydration
d.pAllptypespofpdehydrationpinpinfantspandpsmallpchildrenp
ANS:pA
Isotonicpdehydrationpispthepcorrectptermpforpthispdefinitionpandpispthepmostpfrequentpformpofpdeh
ydrationpinpchildren.pHypotonicpdehydrationpoccurspwhenpthepelectrolytepdeficitpexceedspthepw
aterpdeficit,pleavingpthepserumphypotonic.pHypertonicpdehydrationpresultspfrompwaterplosspinpexc
esspofpelectrolyteplosspandpispusuallypcausedpbypapproportionatelyplargerplosspofpwaterporpaplarg
erpintakepofpelectrolytes.pThispdefinitionpispspecificptopisotonicpdehydration.
,NUR 402> Chapter 24: The Child with Gastroint
p p p p p p p
estinal Dysfunction Exam 4 LATEST.
p p p pp
PTS:p1pDIF:pCognitivepLevel:pUnderstandpREF:p767pTOP
:pIntegratedpProcess:pNursingpProcess:pAssessment
MSC:pAreapofpClientpNeeds:pPhysiologicpIntegrity:pReductionpofpRiskpPotential
4. Apnursepispadmittingpanpinfantpwithpdehydrationpcausedpfrompwaterplosspinpexcesspofp
electrolyteploss.pWhichptypepofpdehydrationpispthispinfantpexperiencing?
a. Isotonicp b.
pIsosmoticpc.p
Hypotonicpd.p
HypertonicA p
NS:pD
Hypertonicpdehydrationpresultspfrompwaterplosspinpexcesspofpelectrolyteploss.pThispispthepmostpda
ngerousptypepofpdehydration.pItpispcausedpbypfeedingpchildrenpfluidspwithphighpamountspofpsolute
.pIsotonicpdehydrationpoccurspinpconditionspinpwhichpelectrolytepandpwaterpdeficitspareppresentpin
pbalancedpproportionpandpispanotherptermpforpisotonicpdehydration.pHypotonicpdehydrationpoccu
rspwhenpthepelectrolytepdeficitpexceedspthepwaterpdeficit,pleavingpthepserumphypotonic.
PTS:p1pDIF:pCognitivepLevel:pUnderstandpREF:p767pTOP
:pIntegratedpProcess:pNursingpProcess:pAssessment
MSC:pAreapofpClientpNeeds:pPhysiologicpIntegrity:pReductionpofpRiskpPotential
5. Anpinfantpispbroughtptopthepemergencypdepartmentpwithpdehydration.pWhichpphysicalp
assessmentpfindingpdoespthepnursepexpect?
a. Weightpgainp
b.pBradycardia
c.pPoorp skinp turgorp
d.pBriskpcapillaryprefillp
ANS:pC
Clinicalpmanifestationspofpdehydrationpincludeppoorpskinpturgor,pweightploss,plethargy,pandptac
hycardia.pThepinfantpwouldphavepprolongedpcapillaryprefill,pnotpbrisk.
PTS:p1pDIF:pCognitivepLevel:pUnderstandpREF:p767pTOP
:pIntegratedpProcess:pNursingpProcess:pAssessment
MSC:pAreapofpClientpNeeds:pPhysiologicpIntegrity:pPhysiologicpAdaptation
6. Parentspcallpthepclinicpandpreportpthatptheirptoddlerphasphadpacutepdiarrheapforp24phours.p
Thepnursepshouldpfurtherpaskpthepparentspifptheptoddlerphaspwhichpassociatedpfactorpthatpisp
causingpthepacutepdiarrhea?
a. Celiacp diseasepb
.pAntibioticptherapy
c.pImmunodeficiencyp
d.pProteinpmalnutritionp
ANS:pB
Acutepdiarrheapispapsuddenpincreasepinpfrequencypandpchangepinpconsistencypofpstoolspandp
maypbepassociatedpwithpantibioticptherapy.pCeliacpdiseasepispapproblempwithpglutenpintoleran
cepandpmaypcausepchronicpdiarrheapifpnotpidentifiedpandpmanagedpappropriately.pImmunode
ficiencypwouldpoccurpwithpchronicpdiarrhea.pProteinpmalnutritionporpkwashiorkorpcausespchro
nicpdiarrheapfromploweredpresistanceptopinfection.
,NUR 402> Chapter 24: The Child with Gastroint
p p p p p p p
estinal Dysfunction Exam 4 LATEST.
p p p pp
PTS:p1pDIF:pCognitivepLevel:pApplypREF:p772
TOP:pIntegratedpProcess:pNursingpProcess:pAssessment
MSC:pAreapofpClientpNeeds:pPhysiologicpIntegrity:pPhysiologicpAdaptation
7. Whichppathogenpispthepviralppathogenpthatpfrequentlypcausespacutepdiarrheapinpyoungp
children?
a. Giardiaporganismsp
b.pShigellaporganismsp
c.pRotavirus
d.pSalmonellaporganismsp
ANS:pC
Rotaviruspispthepmostpfrequentpviralppathogenpthatpcausespdiarrheapinpyoungpchildren.pGiardiap
(parasite)pandpSalmonellaparepbacterialppathogenspthatpcausepdiarrhea.pShigellapispapbacterialp
pathogenpthatpispuncommonpinpthepUnitedpStates.
PTS:p1pDIF:pCognitivepLevel:pUnderstandpREF:p772pTOP
:pIntegratedpProcess:pNursingpProcess:pAssessment
MSC:pAreapofpClientpNeeds:pPhysiologicpIntegrity:pPhysiologicpAdaptation
8. Whichpispapparasitepthatpcausespacutepdiarrhea?p
a.pShigellaporganisms
b.pSalmonellaporganismsp
c.pGiardiaplamblia
d.pEscherichiapcolip
ANS:pC
G.plambliapispapparasitepthatprepresentsp10%pofpnon-
dysentericpillnesspinpthepUnitedpStates.pShigella,pSalmonella,pandpE.pcoliparepbacterialppathog
ens.
PTS:p1pDIF:pCognitivepLevel:pUnderstandpREF:p775pTOP
:pIntegratedpProcess:pNursingpProcess:pAssessment
MSC:pAreapofpClientpNeeds:pPhysiologicpIntegrity:pPhysiologicpAdaptation
9. Apchildpispadmittedpwithpbacterialpgastroenteritis.pWhichplabpresultspofpapstoolpspecimenp
confirmpthispdiagnosis?
a. Eosinophilsp b.
pOccultpbloodpc.p
pHplesspthanp6
d.pNeutrophilspandpredpbloodpcellsp
ANS:pD
Neutrophilspandpredpbloodpcellspinpstoolpindicatepbacterialpgastroenteritis.pProteinpintolerancepa
ndpparasiticpinfectionsparepsuspectedpinptheppresencepofpeosinophils.pOccultpbloodpmaypindica
teppathogenspsuchpaspShigella,pCampylobacter,porphemorrhagicpEscherichiapcolipstrains.pApp
Hpofplesspthanp6pmaypindicatepcarbohydratepmalabsorptionporpsecondaryplactasepinsufficiency
.
PTS:p1pDIF:pCognitivepLevel:pUnderstandpREF:p775pTO
P:pIntegratedpProcess:pNursingpProcess:pEvaluation
MSC:pAreapofpClientpNeeds:pPhysiologicpIntegrity:pReductionpofpRiskpPotential
10. Whichptherapeuticpmanagementpshouldpthepnursepprepareptopinitiatepfirstpforpapchildpwithp
acutepdiarrheapandpmoderatepdehydration?
a. Clearpliquids
, NUR 402> Chapter 24: The Child with Gastroint
p p p p p p p
estinal Dysfunction Exam 4 LATEST.
p p p pp
b. Adsorbents,psuchpaspkaolinpandppectinp
c.pOralprehydrationpsolutionp(ORS)
d.pAntidiarrhealpmedicationspsuchpaspparegoricp
ANS:pC
ORSpispthepfirstptreatmentpforpacutepdiarrhea.pClearpliquidsparepnotprecommendedpbecausepth
eypcontainptoopmuchpsugar,pwhichpmaypcontributeptopdiarrhea.pAdsorbentsparepnotprecomme
nded.pAntidiarrhealsparepnotprecommendedpbecauseptheypdopnotpgetpridpofppathogens.
PTS:p1pDIF:pCognitivepLevel:pApplypREF:p775
TOP:pIntegratedpProcess:pNursingpProcess:pImplementation
MSC:pAreapofpClientpNeeds:pPhysiologicpIntegrity:pReductionpofpRiskpPotential
11. Apschool-
agepchildpwithpdiarrheaphaspbeenprehydrated.pThepnursepispdiscussingpthepchild’spdietpwithpthepf
amily.pWhichpstatementpbypthepparentpwouldpindicatepapcorrectpunderstandingpofpthepteaching?
a. “Ipwillpkeeppmypchildponpapclearpliquidpdietpforpthepnextp24phours.”
b. “Ipshouldpencouragepmypchildptopdrinkpcarbonatedpdrinkspbutpavoidpfoodpforpthepnextp24p
hours.”
c. “Ipwillpofferpmypchildpbananas,price,papplesauce,pandptoastpforpthepnextp48phours.”
d. “Ipshouldphavepmypchildpeatpapnormalpdietpwithpeasilypdigestedpfoodspforpthepnextp48phours.”p
ANS:pD
Easilypdigestedpfoodspsuchpaspcereals,pcookedpvegetables,pandpmeatspshouldpbepprovidedpforpt
hepchild.pEarlypreintroductionpofpnutrientspispdesirable.pContinuedpfeedingporpreintroductionpofpap
regularpdietphaspnopadversepeffectspandpactuallyplessenspthepseveritypandpdurationpofpthepillnes
s.pClearpliquidspandpcarbonatedpdrinksphavephighpcarbohydratepcontentpandpfewpelectrolytes.p
Caffeinatedpbeveragespshouldpbepavoidedpbecausepcaffeinepispapmildpdiuretic.
ThepBRATpdietphasplittlepnutritionalpvaluepandpisphighpinpcarbohydrates.
PTS:p1pDIF:pCognitivepLevel:pApplypREF:p775-
776pTOP:pIntegratedpProcess:pTeaching/Learning
MSC:pAreapofpClientpNeeds:pPhysiologicpIntegrity:pBasicpCarepandpComfort
12. Apyoungpchildpispbroughtptopthepemergencypdepartmentpwithpseverepdehydrationpseco
ndaryptopacutepdiarrheapandpvomiting.pTherapeuticpmanagementpofpthispchildpshouldpbegi
npwith:
a.pintravenousp(IV)pfluids.p
b.pORS.
c.pclearpliquids,p1ptop2pouncespatpaptime.
d.padministrationpofpantidiarrhealpmedication.p
ANS:pA
Inpchildrenpwithpseverepdehydration,pIVpfluidsparepinitiated.pORSpispacceptableptherapypifpthep
dehydrationpispnotpsevere.pDiarrheapispnotpmanagedpbypusingpclearpliquidspbypmouth.pThesepf
luidsphavepaphighpcarbohydratepcontent,plowpelectrolytepcontent,pandphighposmolality.
Antidiarrhealpmedicationsparepnotprecommendedpforptheptreatmentpofpacutepinfectiousp
diarrhea.
PTS:p1pDIF:pCognitivepLevel:pApplypREF:p776
TOP:pIntegratedpProcess:pNursingpProcess:pImplementation
MSC:pAreapofpClientpNeeds:pPhysiologicpIntegrity:pPhysiologicpAdaptation
