Question 1

What is a priority concern for a 14-year-old child with inflammatory bowel disease?

Accepted Answer

A)  Compliance with antidiarrheal medication therapy 
B)  Long-term complications 
C)  Dealing with the embarrassment and stress of diarrhea 
D)  Home schooling 
A)  Compliance with antidiarrheal medication therapy 
B)  Long-term complications 
C)  Dealing with the embarrassment and stress of diarrhea 
D)  Home schooling C

Question 2

What is an appropriate statement for the nurse to make to parents of a child who has had a barium enema to correct an intussusception?

Accepted Answer

A)  "I will call the physician when the baby passes his first stool." 
B)  "I am going to dilate the anal sphincter with a gloved finger to help the baby pass the barium." 
C)  "I would like you to save all the soiled diapers so I can inspect them." 
D)  "Add cereal to the baby's formula to help him pass the barium." 
A)  "I will call the physician when the baby passes his first stool." 
B)  "I am going to dilate the anal sphincter with a gloved finger to help the baby pass the barium." 
C)  "I would like you to save all the soiled diapers so I can inspect them." 
D)  "Add cereal to the baby's formula to help him pass the barium." C

Question 3

What food choice by the parent of a 2-year-old child with celiac disease indicates a need for further teaching?

Accepted Answer

A)  Oatmeal 
B)  Rice cake 
C)  Corn muffin 
D)  Meat patty 
A)  Oatmeal 
B)  Rice cake 
C)  Corn muffin 
D)  Meat patty A

Question 4

What is the best response by the nurse to a mother asking about the cause of her infant's bilateral cleft lip?

Accepted Answer

A)  "Did you use alcohol during your pregnancy?" 
B)  "Do you know of anyone in your family or the baby's father's family who was born with cleft lip or palate problems?" 
C)  "This defect is associated with intrauterine infection during the second trimester." 
D)  "The prevalent of cleft lip is higher in Caucasians" 
A)  "Did you use alcohol during your pregnancy?" 
B)  "Do you know of anyone in your family or the baby's father's family who was born with cleft lip or palate problems?" 
C)  "This defect is associated with intrauterine infection during the second trimester." 
D)  "The prevalent of cleft lip is higher in Caucasians"

Question 5

Which intervention should be included in the nurse's plan of care for a 7-year-old child with encopresis who has cleared the initial impaction?

Accepted Answer

A)  Have the child sit on the toilet for 30 minutes when he gets up in the morning and at bedtime. 
B)  Increase sugar in the child's diet to promote bowel elimination. 
C)  Use a Fleets enema daily. 
D)  Give the child a choice of beverage to mix with a laxative. 
A)  Have the child sit on the toilet for 30 minutes when he gets up in the morning and at bedtime. 
B)  Increase sugar in the child's diet to promote bowel elimination. 
C)  Use a Fleets enema daily. 
D)  Give the child a choice of beverage to mix with a laxative.

Question 6

Which nursing diagnosis has the highest priority for the toddler with celiac disease?

Accepted Answer

A)  Disturbed Body Image related to chronic constipation 
B)  Risk for Disproportionate Growth related to obesity 
C)  Excess Fluid Volume related to celiac crisis 
D)  Imbalanced Nutrition: Less than Body Requirements related to malabsorption 
A)  Disturbed Body Image related to chronic constipation 
B)  Risk for Disproportionate Growth related to obesity 
C)  Excess Fluid Volume related to celiac crisis 
D)  Imbalanced Nutrition: Less than Body Requirements related to malabsorption

Question 7

An infant is born and the nurse notices that the child has herniation of abdominal viscera into the base of the umbilical cord.What will the nurse document on her or his assessment of this condition?

Accepted Answer

A)  Diaphragmatic hernia 
B)  Umbilical hernia 
C)  Gastroschisis 
D)  Omphalocele 
A)  Diaphragmatic hernia 
B)  Umbilical hernia 
C)  Gastroschisis 
D)  Omphalocele

Question 8

Which viral pathogen frequently causes acute diarrhea in young children?

Accepted Answer

A)  Giardia organisms 
B)  Shigella organisms 
C)  Rotavirus 
D)  Salmonella organisms 
A)  Giardia organisms 
B)  Shigella organisms 
C)  Rotavirus 
D)  Salmonella organisms

Question 9

A stool specimen from a child with diarrhea shows the presence of neutrophils and red blood cells.This is most suggestive of

Accepted Answer

A)  Protein intolerance 
B)  Parasitic infection 
C)  Fat malabsorption 
D)  Bacterial gastroenteritis 
A)  Protein intolerance 
B)  Parasitic infection 
C)  Fat malabsorption 
D)  Bacterial gastroenteritis

Question 10

Which assessment finding is the most significant to report to the physician for a child with cirrhosis?

Accepted Answer

A)  Weight loss 
B)  Change in level of consciousness 
C)  Skin with pruritus 
D)  Black, foul-smelling stools 
A)  Weight loss 
B)  Change in level of consciousness 
C)  Skin with pruritus 
D)  Black, foul-smelling stools

Question 11

The child with lactose intolerance is most at risk for which electrolyte imbalance?

Accepted Answer

A)  Hyperkalemia 
B)  Hypoglycemia 
C)  Hyperglycemia 
D)  Hypocalcemia 
A)  Hyperkalemia 
B)  Hypoglycemia 
C)  Hyperglycemia 
D)  Hypocalcemia

Question 12

The nurse notes on assessment that a 1-year-old child is underweight,with abdominal distention,thin legs and arms,and foul-smelling stools.The nurse suspects failure to thrive is associated with

Accepted Answer

A)  Celiac disease 
B)  Intussusception 
C)  Irritable bowel syndrome 
D)  Imperforate anus 
A)  Celiac disease 
B)  Intussusception 
C)  Irritable bowel syndrome 
D)  Imperforate anus

Question 13

What is an expected outcome for the child with irritable bowel disease?

Accepted Answer

A)  Decreasing symptoms 
B)  Adherence to a low-fiber diet 
C)  Increasing milk products in the diet 
D)  Adapting the lifestyle to the lifelong problems 
A)  Decreasing symptoms 
B)  Adherence to a low-fiber diet 
C)  Increasing milk products in the diet 
D)  Adapting the lifestyle to the lifelong problems

Question 14

What is an expected outcome for the parents of a child with encopresis?

Accepted Answer

A)  The parents will give the child an enema daily for 3 to 4 months. 
B)  The family will develop a plan to achieve control over incontinence. 
C)  The parents will have the child launder soiled clothes. 
D)  The parents will supply the child with a low-fiber diet. 
A)  The parents will give the child an enema daily for 3 to 4 months. 
B)  The family will develop a plan to achieve control over incontinence. 
C)  The parents will have the child launder soiled clothes. 
D)  The parents will supply the child with a low-fiber diet.

Question 15

The nurse caring for a child with suspected appendicitis should question which order from the physician?

Accepted Answer

A)  Keep patient NPO. 
B)  Start IV of D5/0.45 normal saline at 60 mL/hr. 
C)  Apply K-pad to abdomen prn for pain. 
D)  Obtain CBC on admission to nursing unit. 
A)  Keep patient NPO. 
B)  Start IV of D5/0.45 normal saline at 60 mL/hr. 
C)  Apply K-pad to abdomen prn for pain. 
D)  Obtain CBC on admission to nursing unit.

Question 16

A histamine-receptor antagonist such as cimetidine (Tagamet)or ranitidine (Zantac)is ordered for an infant with GER.The purpose of this is to

Accepted Answer

A)  Prevent reflux. 
B)  Prevent hematemesis. 
C)  Reduce gastric acid production. 
D)  Increase gastric acid production. 
A)  Prevent reflux. 
B)  Prevent hematemesis. 
C)  Reduce gastric acid production. 
D)  Increase gastric acid production.

Question 17

The nurse is caring for a neonate with a suspected tracheoesophageal fistula (TEF).Nursing care should include

Accepted Answer

A)  Elevating the head but give nothing by mouth 
B)  Elevating the head for feedings 
C)  Feeding glucose water only 
D)  Avoiding suction unless infant is cyanotic 
A)  Elevating the head but give nothing by mouth 
B)  Elevating the head for feedings 
C)  Feeding glucose water only 
D)  Avoiding suction unless infant is cyanotic

Question 18

What is used to treat moderate to severe inflammatory bowel disease?

Accepted Answer

A)  Antacids 
B)  Antibiotics 
C)  Corticosteroids 
D)  Antidiarrheal medications 
A)  Antacids 
B)  Antibiotics 
C)  Corticosteroids 
D)  Antidiarrheal medications

Question 19

What maternal assessment is related to an infant's diagnosis of TEF?

Accepted Answer

A)  Maternal age more than 40 years 
B)  First term pregnancy for the mother 
C)  Maternal history of polyhydramnios 
D)  Complicated pregnancy 
A)  Maternal age more than 40 years 
B)  First term pregnancy for the mother 
C)  Maternal history of polyhydramnios 
D)  Complicated pregnancy

Question 20

Which assessment finding should the nurse expect in an infant with Hirschsprung disease?

Accepted Answer

A)  "Currant jelly" stools 
B)  Constipation with passage of foul-smelling, ribbon-like stools 
C)  Foul-smelling, fatty stools 
D)  Diarrhea 
A)  "Currant jelly" stools 
B)  Constipation with passage of foul-smelling, ribbon-like stools 
C)  Foul-smelling, fatty stools 
D)  Diarrhea

Exam 43: The Child With a Gastrointestinal Alteration

What is a priority concern for a 14-year-old child with inflammatory bowel disease?

What is an appropriate statement for the nurse to make to parents of a child who has had a barium enema to correct an intussusception?

What food choice by the parent of a 2-year-old child with celiac disease indicates a need for further teaching?

What is the best response by the nurse to a mother asking about the cause of her infant's bilateral cleft lip?

Which intervention should be included in the nurse's plan of care for a 7-year-old child with encopresis who has cleared the initial impaction?

Which nursing diagnosis has the highest priority for the toddler with celiac disease?

An infant is born and the nurse notices that the child has herniation of abdominal viscera into the base of the umbilical cord.What will the nurse document on her or his assessment of this condition?

Which viral pathogen frequently causes acute diarrhea in young children?

A stool specimen from a child with diarrhea shows the presence of neutrophils and red blood cells.This is most suggestive of

Which assessment finding is the most significant to report to the physician for a child with cirrhosis?

The child with lactose intolerance is most at risk for which electrolyte imbalance?

The nurse notes on assessment that a 1-year-old child is underweight,with abdominal distention,thin legs and arms,and foul-smelling stools.The nurse suspects failure to thrive is associated with

What is an expected outcome for the child with irritable bowel disease?

What is an expected outcome for the parents of a child with encopresis?

The nurse caring for a child with suspected appendicitis should question which order from the physician?

A histamine-receptor antagonist such as cimetidine (Tagamet)or ranitidine (Zantac)is ordered for an infant with GER.The purpose of this is to

The nurse is caring for a neonate with a suspected tracheoesophageal fistula (TEF).Nursing care should include

What is used to treat moderate to severe inflammatory bowel disease?

What maternal assessment is related to an infant's diagnosis of TEF?

Which assessment finding should the nurse expect in an infant with Hirschsprung disease?

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating With Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion during Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family With Special Needs

Pregnancy-Related Complications

Concurrent Disorders During Pregnancy

The Woman With an Intrapartum Complication

The Woman With a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s Health Care

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child With a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child With a Fluid and Electrolyte Alteration

The Child With an Infectious Disease

The Child With an Immunologic Alteration

The Child With a Genitourinary Alteration

The Child With a Respiratory Alteration

The Child With a Cardiovascular Alteration

The Child With a Hematologic Alteration

The Child With Cancer

The Child With an Alteration in Tissue Integrity

The Child With a Musculoskeletal Alteration

The Child With an Endocrine or Metabolic Alteration

The Child With a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With a Developmental Disability

The Child With a Sensory Alteration

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