Exam 22: The Child with Gastrointestinal Dysfunction

Which is a parasite that causes acute diarrhea?

Which therapeutic management treatment is implemented for children with Hirschsprung disease?

A mother calls the clinic nurse about her 4-year-old son who has acute diarrhea. She has been giving him the antidiarrheal drug loperamide (Imodium A-D). The nurse's response should be based on what knowledge about this drug?

A nurse is receiving report on a newborn admitted yesterday after a gastroschisis repair. In the report, the nurse is told the newborn has a physician's prescription for an NG tube to low intermittent suction. The reporting nurse confirms that the NG tube is to low intermittent suction and draining light green stomach contents. Upon initial assessment, the nurse notes that the newborn has pulled the NG tube out. Which is the priority action the nurse should take?

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?

During the first few days after surgery for cleft lip, which intervention should the nurse do?

What are the results of excessive vomiting in an infant with 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?

Which condition in a child should alert a nurse for increased fluid requirements?

Which vaccine is now recommended for the immunization of all newborns?

What is the best description of pyloric stenosis?

What should be included in caring for the newborn with a cleft lip and palate before surgical repair?

Which pathogen is the viral pathogen that frequently causes acute diarrhea in young children?

A child has an NG tube to continuous low intermittent suction. The physician's prescription is to replace the previous 4-hour NG output with a normal saline piggyback over a 2-hour period. The NG output for the previous 4 hours totaled 50 ml. What milliliter/hour rate should the nurse administer to replace normal saline piggyback? (Record your answer in a whole number.)

A 4-month-old infant has gastroesophageal reflux (GER) but is thriving without other complications. Which should the nurse suggest to minimize reflux?

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

The nurse is caring for a neonate with a suspected tracheoesophageal fistula. What nursing care should be included?

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

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