Exam 26: The Child with Gastrointestinal Dysfunction

What signs or symptoms are most commonly associated with the prodromal phase of acute viral hepatitis?

What is the purpose in using cimetidine (Tagamet) for gastroesophageal reflux?

The nurse is teaching a parent of a 6-month-old infant with gastroesophageal reflux (GER) before discharge. What instructions should the nurse include? (Select all that apply.)

A toddler's mother calls the nurse because she thinks her son has swallowed a button type of battery. He has no signs of respiratory distress. The nurse's response should be based on which premise?

An infant had a gastrostomy tube placed for feedings after a Nissen fundoplication and bolus feedings are initiated. Between feedings while the tube is clamped, the infant becomes irritable, and there is evidence of cramping. What action should the nurse implement?

The health care provider has prescribed famotidine (Pepcid) 1 mg/kg/day divided bid for a child with gastroesophageal reflux disease. The child weighs 33 lb. The nurse is preparing to administer the 0900 dose. Calculate the dose the nurse should administer in milligrams. Record your answer using one decimal place. _______________

MATCHING Diagnosis of hepatitis B is confirmed by the detection of various hepatitis virus antigens, and the antibodies that are produced in response to the infection. Match the antibody or antigen to its definition. -Indicates active infection

A child with acute gastrointestinal bleeding is admitted to the hospital. The nurse observes which sign or symptom as an early manifestation of shock?

What therapeutic intervention provides the best chance of survival for a child with cirrhosis?

The nurse is preparing to admit a 7-year-old child with hepatitis B. What clinical features of hepatitis B should the nurse recognize? (Select all that apply.)

An infant with short bowel syndrome is receiving total parenteral nutrition (TPN). The practitioner has added continuous enteral feedings through a gastrostomy tube. The nurse recognizes this as important for which reason?

The health care provider has prescribed clarithromycin (Biaxin) 20 mg/kg/day divided bid for a child with peptic ulcer disease. The child weighs 77 lb. The nurse is preparing to administer the 0900 dose. Calculate the dose the nurse should administer in milligrams. Record your answer in a whole number. _______________

The health care provider has prescribed ondansetron (Zofran) 0.1 mg/kg as needed for nausea for a child admitted for vomiting. The child weighs 55 lb. Calculate the correct dose of Zofran in milligrams. Record your answer using one decimal place. _________________

What should the nurse consider when providing support to a family whose infant has just been diagnosed with biliary atresia?

What intervention is contraindicated in a suspected case of appendicitis?

MATCHING Diagnosis of hepatitis B is confirmed by the detection of various hepatitis virus antigens, and the antibodies that are produced in response to the infection. Match the antibody or antigen to its definition. -Indicates resolving or past infection

The mother of a child with cognitive impairment calls the nurse because her son has been gagging and drooling all morning. The nurse suspects foreign body ingestion. What physiologic occurrence is most likely responsible for the presenting signs?

Nutritional management of the child with Crohn disease includes a diet that has which component?

The school nurse is teaching a group of adolescents about avoiding contaminated water during a mission trip. What should the nurse include in the teaching? (Select all that apply.)

The health care provider has prescribed metronidazole (Flagyl) 30 mg/kg a day divided q 6 hours for a child with peptic ulcer disease. The child weighs 110 lb. The nurse is preparing to administer the 1200 dose. Calculate the dose the nurse should administer in mg. Record your answer in a whole number. ______________