C HAPTER 28: T HE C HILD WITH A
G ASTROINTESTINAL C ONDITION
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. The nurse is planning a parent education program about lead poisoning
prevention. What will be included regarding primary sources of lead in the
communit y?
a. Increased lead content of air
b. Use of aluminum cookware
c. Deteriorating paint in older buildings
d. Inhaling smog
ANS: C
The primary source of lead is paint from old, deterior ating buildings.
DIF: Cognitive Level: Knowledge REF: Page 682 TOP:
Lead Poisoning KEY: Nursing Process Step: Planning
MSC: NC LEX: Physiological Integrit y
2. A frightened mother calls the pediatricians office because her child
swallowed dishwashing det ergent. What is the most appropriate action?
a. Induce vomiting by giving the child syrup of ipecac.
b. Take the child to the local emergency department.
c. Give the child activated charcoal mixed with juice.
, d. Give the child milk to soothe affected mucous membranes.
ANS: B
Inducing vomiting is no longer recommended because it may pose
additional problems. The child should be taken immediatel y to the
nearest emergency department along with the packaging of the ingested
substance.
DIF: Cognitive Level: Application REF: Page 678 OBJ: 13
TOP: Poisoning KEY: Nursing Process Step:
Implementation MSC: NC LEX: Health Promotion and
Maintenance: Prevention and Earl y Detection of Disease
3. A child has been diagnosed with ascariasis (roundworm). Which statement
made by her mother that may suggest a cause for her condition?
a. Ive been airing out the house on these nice breez y days.
b. My child often goes out to the garden and pulls up a carrot to eat.
c. She runs barefoot so much I have to wash her feet at least twice a
day.
d. We just remodeled our bathroom at home.
ANS: B
The child can ingest roundworm eggs from contaminated soil.
DIF: Cognitive Level: Comprehension REF: Page 678
TOP: Worms KEY: Nursing Process Step: Data
, Collection MSC: NC LEX: Health Promotion and Maintenance :
Prevention and Earl y Detection of Disease
4. What does the nurse expect the appearance of the stools of a child with
celiac disease to be?
a. Ribbon like
b. Hard, constipated
c. Bulky, frothy
d. Loose, foul -smelling
ANS: C
Celiac disease causes malabsorption. Stool s that are large, bulky, and
frothy may indicate malabsorption.
DIF: Cognitive Level: Comprehension REF: Page 663
TOP: Celiac Disease KEY: Nursing Process Step:
Data Collection MSC: NC LEX: Physiological Integrit y:
Physiological Adaptation
5. The nurse has reviewed dietary restrictions for celiac disease with
concerned parents. Which grain will the nurse explain can be eaten with
celiac disease?
a. Wheat
b. Oats
c. Barley
d. Rice
ANS: D
G ASTROINTESTINAL C ONDITION
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. The nurse is planning a parent education program about lead poisoning
prevention. What will be included regarding primary sources of lead in the
communit y?
a. Increased lead content of air
b. Use of aluminum cookware
c. Deteriorating paint in older buildings
d. Inhaling smog
ANS: C
The primary source of lead is paint from old, deterior ating buildings.
DIF: Cognitive Level: Knowledge REF: Page 682 TOP:
Lead Poisoning KEY: Nursing Process Step: Planning
MSC: NC LEX: Physiological Integrit y
2. A frightened mother calls the pediatricians office because her child
swallowed dishwashing det ergent. What is the most appropriate action?
a. Induce vomiting by giving the child syrup of ipecac.
b. Take the child to the local emergency department.
c. Give the child activated charcoal mixed with juice.
, d. Give the child milk to soothe affected mucous membranes.
ANS: B
Inducing vomiting is no longer recommended because it may pose
additional problems. The child should be taken immediatel y to the
nearest emergency department along with the packaging of the ingested
substance.
DIF: Cognitive Level: Application REF: Page 678 OBJ: 13
TOP: Poisoning KEY: Nursing Process Step:
Implementation MSC: NC LEX: Health Promotion and
Maintenance: Prevention and Earl y Detection of Disease
3. A child has been diagnosed with ascariasis (roundworm). Which statement
made by her mother that may suggest a cause for her condition?
a. Ive been airing out the house on these nice breez y days.
b. My child often goes out to the garden and pulls up a carrot to eat.
c. She runs barefoot so much I have to wash her feet at least twice a
day.
d. We just remodeled our bathroom at home.
ANS: B
The child can ingest roundworm eggs from contaminated soil.
DIF: Cognitive Level: Comprehension REF: Page 678
TOP: Worms KEY: Nursing Process Step: Data
, Collection MSC: NC LEX: Health Promotion and Maintenance :
Prevention and Earl y Detection of Disease
4. What does the nurse expect the appearance of the stools of a child with
celiac disease to be?
a. Ribbon like
b. Hard, constipated
c. Bulky, frothy
d. Loose, foul -smelling
ANS: C
Celiac disease causes malabsorption. Stool s that are large, bulky, and
frothy may indicate malabsorption.
DIF: Cognitive Level: Comprehension REF: Page 663
TOP: Celiac Disease KEY: Nursing Process Step:
Data Collection MSC: NC LEX: Physiological Integrit y:
Physiological Adaptation
5. The nurse has reviewed dietary restrictions for celiac disease with
concerned parents. Which grain will the nurse explain can be eaten with
celiac disease?
a. Wheat
b. Oats
c. Barley
d. Rice
ANS: D
