Exam 22: The Child with Gastrointestinal Dysfunction

Which type of dehydration is defined as "dehydration that occurs in conditions in which electrolyte and water deficits are present in approximately balanced proportion"?

One of the supervisors for a home health agency asks the nurse to give the family a survey evaluating the nurses and other service providers. How should the nurse interpret this request?

Parents call the clinic and report that their toddler has had acute diarrhea for 24 hours. The nurse should further ask the parents if the toddler has which associated factor that is causing the acute diarrhea?

Which clinical manifestation would be the most suggestive of acute appendicitis?

Why are bismuth subsalicylate, clarithromycin, and metronidazole prescribed for a child with a peptic ulcer?

A nurse is admitting an infant with biliary atresia. Which is the earliest clinical manifestation of biliary atresia the nurse should expect to assess?

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

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

Which therapeutic management should the nurse prepare to initiate first for a child with acute diarrhea and moderate dehydration?

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.)

What offers the best chance of survival for a child with cirrhosis?

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

A family wants to begin oral feeding of their 4-year-old son, who is ventilator-dependent and currently tube-fed. They ask the home health nurse to feed him the baby food orally. The nurse recognizes a high risk of aspiration and an already compromised respiratory status. What is the most appropriate nursing action?

When caring for a child with probable appendicitis, the nurse should be alert to recognize that which condition or symptom is a sign of perforation?

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

Which type of hernia has an impaired blood supply to the herniated organ?

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

A newborn was admitted to the nursery with a complete bilateral cleft lip and palate. The physician explained the plan of therapy and its expected good results. However, the mother refuses to see or hold her baby. What is the initial therapeutic approach for the mother?

The nurse is explaining to a parent how to care for a school-age child with vomiting associated with a viral illness. Which action should the nurse include?

A mother who intended to breastfeed has given birth to an infant with a cleft palate. What nursing interventions should be included?