Exam 24: The Child with Gastrointestinal Dysfunction

Which is a parasite that causes acute diarrhea?

A 3-year-old child with Hirschsprung disease is hospitalized for surgery.A temporary colostomy will be necessary.The nurse should recognize that preparing this child psychologically is:

Which is true concerning hepatitis B? (Select all that apply.)

The nurse is caring for a child admitted with acute abdominal pain and possible appendicitis.Which is appropriate to relieve the abdominal discomfort?

A child who has just had definitive repair of a high rectal malformation is to be discharged.Which should the nurse address in the discharge preparation of this family? (Select all that apply.)

A nurse is admitting a child with Crohn disease.Parents ask the nurse,"How is this disease different from ulcerative colitis?" Which statement should the nurse make when answering this question?

A child is admitted with bacterial gastroenteritis.Which lab results of a stool specimen confirm this diagnosis?

A nurse is admitting an infant with dehydration caused from water loss in excess of electrolyte loss.Which type of dehydration is this infant experiencing?

A nurse is conducting an in-service on childhood gastrointestinal disorders.Which statement is most descriptive of Meckel diverticulum?

The nurse is caring for an infant with suspected pyloric stenosis.Which clinical manifestation would indicate pyloric stenosis?

The nurse is caring for a boy with probable intussusception.He had diarrhea before admission but,while waiting for administration of air pressure to reduce the intussusception,he passes a normal brown stool.Which nursing action is the most appropriate?

An infant with pyloric stenosis experiences excessive vomiting that can result in:

An infant with short bowel syndrome will be discharged home on total parenteral nutrition (TPN)and gastrostomy feedings.Nursing care should include:

Constipation has recently become a problem for a school-age girl.She is healthy except for seasonal allergies that are being treated with antihistamines.The nurse should suspect that the constipation is most likely caused by:

An infant is brought to the emergency department with dehydration.Which physical assessment finding does the nurse expect?

Which is a high-fiber food that the nurse should recommend for a child with chronic constipation?

Parents of a child undergoing an endoscopy to rule out peptic ulcer disease (PUD)from H.pylori ask the nurse,"If H.pylori is found will my child need another endoscopy to know that it is gone?" Which is the nurse's best response?

A child has recurrent abdominal pain (RAP)and a dairy-free diet has been prescribed for 2 weeks.Which explanation is the reason for prescribing a dairy-free diet?

Which observation made of the exposed abdomen is most indicative of pyloric stenosis?

Which is an important nursing consideration in the care of a child with celiac disease?