Exam (elaborations)
peds #6 GI Exam With Complete Solution @ 2023
- Course
- Institution
peds #6 GI Exam With Complete Solution @ 2023...
[Show more]
Content preview
peds #6 GI Exam Wi th Com plete Soluti on @ 2023 1. Dustin who was diagnosed with Hirschsprung's disease has a fever and watery explosive diarrhea. Which of the following would Nurse Joyce do first? A. Administer an antidiarrheal. B. Notify the physician immediately. C. Monitor the child every 30 minutes. D. Nothing. (These findings are common in Hirschsprung's disease.) - Answer B: For the child with Hirschsprung's disease, fever and explosive diarrhea indicate enterocolitis, a life-threatening situation. Therefore, the physician should be notifie d directly. A: Generally, because of the intestinal obstruction and inadequate propulsi ve intestinal movement, antidiarrheals are not used to treat Hirschsprung's disease. C: The child is acutely ill and requires intervention, with monitoring more frequently tha n every 30 minutes. D: Hirschsprung's disease typically presents with chronic constipation. 2. Nurse Nancy is assessing a child with pyloric stenosis; she is likely to note which of the following? A. "Currant jelly" stools B. Regurgitation C. Steatorrhea D. Projectile vomiting - Answer D: Projectile vomiting is a key sign of pyloric stenosis. B: Regurgitation is seen more commonly with gastroesophageal reflux. C: Steatorrhea occurs in malabsorption disorders such as celiac disease. A: "Currant jelly" stools are characteristic of intussusception. 3. An 11-year-old girl with celiac disease was discharged from the hospital. An appropriate teaching was carried out by the nurse if the parents are aware of avoidin g which of the following? A. Chicken B. Wheat C. Milk D. Rice - Answer B: Children with celiac disease cannot tolerate or digest gluten. Therefore, because of its gluten content, wheat and wheat-containing products m ust be avoided. A,C,D: Rice, milk, and chicken do not contain gluten and need not be a voided. 4. Which of the following applies to the defect emerging from residual periton eal fluid confined within the lower segment of the processus vaginalis? A. Inguinal hernia B. Incarcerated hernia C. Communicating hydrocele D. Noncommunicating hydrocele - Answer D: With a noncommunicating hydrocele, most commonly seen at birth, residual peritoneal fluid is trapped within lower segmen t of the processus vaginalis (the tunica vaginalis). There is no communication with the peritoneal cavity and the fluid usually is absorbed during the first months after b irth. 5. Baby Jonathan was born with cleft lip (CL); Nurse Barbara would be alert that which of the following will most likely be compromised? A. GI function B. Locomotion C. Sucking ability D. Respiratory status - Answer C: Because of the defect, the child will be unable t o form mouth adequately around the nipple, thereby requiring special devices to allow for feeding and sucking gratification. A: GI functioning is not compromised in the child with a CL. B: Locomotion would be a problem for older infant because of the use of restraints. D: Respiratory status may be compromised if the child is fed improperly during post-operative period. 6. Will is being assessed by Nurse Lucas for possible intussusception; which of the following would be least likely to provide valuable information? A. Abdominal palpation B. Family history C. Pain pattern D. Stool inspection - Answer B: Because intussusception is not believed to have f amilial tendency, obtaining a family history would provide the least amount of informa tion. A,C,D: Stool inspection, pain pattern, and abdominal palpation would reveal possible indicators of intussusception. "Currant jelly" stools, containing blood and mucus, are a n indication of intussusception. Acute, episodic abdominal pain is characteristic of intussusception. A sausage-shaped mass may be palpated in the right upper quad rant. Question 7 WRONG 7. Mr. and Ms. Byers' child failed to pass meconium within the first 24 hours aft er birth; this may indicate which of the following? A. Celiac disease B. Intussusception C. Hirschsprung's disease D. Abdominal-wall defect - Answer C: Failure to pass meconium within the first 24 h ours after birth may be a sign of Hirschsprung's disease, a congenital anomaly resulting inThe benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Braxton. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $9.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
78140 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now