Exam (elaborations)
NURS 341 exam 1 questions with correct answer3
- Course
- Nurs 341
- Institution
- Liberty University
NURS 341 exam 1 questions with correct answer3
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NURS 341 exam 1 questions with correct answersNoah is an 18-month-old who is brought to the ER with flu-like
symptoms. He is diagnosed with pneumonia secondary to aspiration of
stomach contents. The nurse explains to the parents that pneumonia is a
condition that often occurs secondary to:
a) Hirschsprung disease
b) Cystic fibrosis
c) Inflammatory bowel disease
d) Gastroesophageal reflux disease Correct Answer-Gastroesophageal
reflux disease
Correct
Explanation:
The child with gastroesophageal reflux disease may present with the
physical findings of pneumonia secondary to aspiration of refluxed
stomach contents.
Nonmaleficence Correct Answer-do no harm
Hirschsprung's disease (congenital megacolon) Correct Answer-absence
at birth of the autonomic ganglia in a segment of the intestinal smooth
muscle wall that normally stimulates peristalsis
gastroesophageal reflux disease (GERD) Correct Answer-backflow of
contents of the stomach into the esophagus, often resulting from
,abnormal function of the lower esophageal sphincter, causing burning
pain in the esophagus
A nurse caring for Paulo, an infant born with a cleft palate, notices that
the parents rarely interact with their child. The nurse overhears the
mother telling her husband that she "feels like crying" every time she
looks at their son. Which of the following would be the best response
from the nurse?
a) "Your son needs you right now. You should put your negative
feelings about his condition aside for his sake."
b) "I sense you could use more information on caring for a cleft palate.
Would you be interested in meeting with other parents who have dealt
with this?"
c) "Keep in mind that your son's condition is not life-threatening and can
be corrected eventually."
d) "Many infants are born with this condition. Your son's palate is not
nearly as bad as some cases." Correct Answer-"I sense you could use
more information on caring for a cleft palate. Would you be interested in
meeting with other parents who have dealt with this?"
Explanation:
The nurse should support the family's adjustment to a child's condition
by demonstrating an accepting, caring attitude toward the child and
family and providing the parents with opportunities and support for
normal infant-parent interactions.
,The nurse observes the interactions of parents with their infant who was
born with a cleft lip. The mother is attempting to feed the baby, but does
not make eye contact. The father is watching television with his back
turned to the mother and baby. What psychosocial nursing intervention
would be most helpful to this family?
a) Teach the mother the appropriate technique for breast-feeding an
infant with cleft lip.
b) Refer the family to a social worker or mental health practitioner.
c) Ask the parents if they have any questions regarding the care of their
child.
d) Explain to the parents that surgical intervention will fix the defect in
the baby's lip. Correct Answer-Ask the parents if they have any
questions regarding the care of their child.
Explanation:
The family's emotional response to the birth of a child with cleft lip,
palate, or both may range from grief to anger to denial. The nurse should
encourage the parents to express their feelings and provide the parents
with opportunities and support for normal infant-parent interactions.
cleft lip and palate Correct Answer-congenital split of the lip and roof of
the mouth (cleft indicates a fissure)
The nurse caring for an 18-month-old infant with Meckel diverticulum
knows that the most common clinical manifestation of this condition is:
a) Painless rectal bleeding
, b) Dehydration
c) Respiratory distress
d) Ischemia Correct Answer-Painless rectal bleeding
Explanation:
With Meckel diverticulum, most symptomatic children present younger
than age 2 years. Intermittent, painless rectal bleeding is the most
common clinical manifestation of Meckel diverticulum. The blood is
most often bright red or maroon and may be passed independent of stool
due to ulceration at the junction of the ectopic tissue and the normal ileal
mucosa.
Meckel Diverticulum etiology Correct Answer-failure of vitelline duct
to involute
A neonatal nurse teaches students how to recognize gastrointestinal
disorders in infants. The nurse tells the students that failure of the
newborn to pass meconium in the first 24 hours after birth may indicate
what disease?
a) Short bowel syndrome (SBS)
b) Gastroenteritis
c) Hirschsprung disease
d) Ulcerative colitis (UC) Correct Answer-Hirschsprung disease
Explanation:
The nurse should suspect Hirschsprung disease when the newborn does
not pass meconium in the first 24 hours after birth, and has bilious
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