Nursing Care of the Child with Bowel
Elimination and Gastrointestinal
Disorders: Comprehensive Guide
, latest updates and
relevance.
A mother brings her 6-month-old infant to the clinic. The child has been vomiting
since early morning and has had diarrhea since the day before. His temperature...
Nursing Care of the Child with Bowel
Elimination and Gastrointestinal
Disorders: Comprehensive Guide
2024-2025, latest updates and
relevance.
A mother brings her 6-month-old infant to the clinic. The child has been vomiting
since early morning and has had diarrhea since the day before. His temperature
is 38C, pulse 140, and respiratory rate 38. He has lost 6oz since his well-child
vist 4 days ago. He cries before passing a bowel movement. He will not
breastfeed today. What is the priority?
1. Thermoregulation alteration
2. Pain (abdominal) related to diarrhea
3. Fluid volume deficit related to excess losses and inadequate intake
4. Alteration in nutrition, less than body requirements, related to decreased oral
intake - ✔✔Fluid volume deficit related to excess losses and inadequate intake
A child presents with a 2-day history of fever, abdominal pain, occasional
vomiting, and decreased oral intake. Which finding would the nurse prioritize for
immediate reporting to the physician?
1. Temperature 101.9F
2. Rebound tenderness and abdominal guarding
3. Parents will be leaving the child alone in the hospital
4. Child can tolerate only sips of fluid without nausea - ✔✔Rebound tenderness
and abdominal guarding
A 3-day-old infant presenting with physiologic jaundice is hospitalized and placed
under phototherapy. Which response indicates to the nurse that the parent needs
more teaching?
1. "My infant is at risk for dehydration."
,2. "My infant needs to stay under the lights, except during feeding time."
3. "My infant can continue to breastfeed during this time."
4. "My infant has a serious liver disease." - ✔✔"My infant has a serious liver
disease."
A 3-month-old infant presents with a history of vomiting after feeding. The plan
for the infant is to rule out GER. What information from the history would lead the
nurse to believe that this infant may need further intervention?
1. Poor weight gain
2. Has small "spits" after feeding
3. Sleeps through the night
4. Is difficult to burp - ✔✔Poor weight gain
The nurse is caring for a child who has had diarrhea and vomiting for the past
several days. What is the priority nursing assessment?
1. Determine the child's weight
2. Ask if the family has traveled outside of the country
3. Assess circulation and perfusion
4. Send a stool specimen to the lab - ✔✔Assess circulation and perfusion
The nurse is caring for a child admitted with gastroesophageal reflux (GER).
Which clinical manifestation would likely be seen in this child?
a) Bouts of diarrhea with failure to gain weight
b) Effortless vomiting just after the child has eaten
c) Forceful vomiting followed by the child being eager to eat again
d) Severe constipation with occasional ribbon-like stools - ✔✔Effortless
vomiting just after the child has eaten Almost immediately after feeding, the child
with gastroesophageal reflux vomits the contents of the stomach. The vomiting is
effortless, not projectile in nature.
A child is experiencing an acute exacerbation of Crohn disease for which she is
prescribed prednisone. The nurse teaches the parents and child about this
medication. Which statement by the parents indicates that the teaching was
successful?
, a) "We might notice some of the medication in her stool"
b) "She might lose some weight initially."
c) "This drug helps to control the abdominal cramping."
d) "We should not stop this medication abruptly." - ✔✔"We should not stop this
medication abruptly."
The nurse is caring for a child admitted with pyloric stenosis. Which clinical
manifestation would likely have been noted in the child with this diagnosis?
a) Frequent urination
b) Projectile vomiting
c) Explosive diarrhea
d) Severe abdominal pain - ✔✔Projectile vomiting
A 2-month-old boy is admitted to the emergency room with severe diarrhea.
Intravenous fluid is prescribed for him. Before adding potassium to this solution,
which assessment would you record?
a) He "attunes" to a music box.
b) He has voided.
c) His hands are restrained.
d) He cries with tears. - ✔✔He has voided.
An adolescent boy is diagnosed with hepatitis A. Which problem should be
considered when planning care?
a) He will become fatigued easily.
b) His urine will be dark and infectious.
c) Hypothermia is common.
d) He will be very irritable and perhaps require sedation. - ✔✔He will become
fatigued easily.
The nurse is caring for a 13-year-old girl with suspected autoimmune hepatitis.
The girl inquires about the testing required to evaluate the condition. How should
the nurse respond?
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