A nurse is caring for a child who has had watery diarrhea for the past 3 days. Which of the following is an appropriate action for the nurse to
... [Show More] take?
A. Offer chicken broth
B. Initiate oral rehydration therapy
C. Start hypertonic IV solution
D. Keep NPO until the diarrhea subsides
B
A nurse is caring for a child who is suspected to have Enterobius vermicularis. Which of the following actions should the nurse take?
A. Perform a tape test
B. Collect stool specimen for culture
C. Test the stool for occult blood
D. Initiate IV fluids
A
A nurse is assessing a child who has a rotavirus infection. Which of the following are expected findings? (Select all that apply)
A. Fever
B. Vomiting
C. Watery stools
D. Bloody stools
E. Confusion
A, B, C
A nurse is teaching a group of parents about Salmonella. Which of the following information should the nurse include in the teaching? (Select all that apply.)
A. Incubation period is nonspecific
B. It is a bacterial infection
C. Bloody diarrhea is common
D. Transmission can be from house pets
E. Antibiotics are used for treatment
B, C, D
A nurse is teaching a group of parents about E. Coli. Which of the following information should the nurse include in the teaching? (Select all that apply.)
A. Severe abdominal cramping occurs
B. Watery diarrhea is present for more than 5 days
C. It can lead to hemolytic uremic syndrome
D. It is a foodborne pathogen
E. Antibiotics are given for treatment
A, C, D
A nurse is assessing an infant who has hypertrophic pyloric stenosis. Which of the following findings should the nurse expect? (Select all that apply)
A. Projectile vomiting
B. Dry mucus membranes
C. Currant jelly stools
D. Sausage-shaped abdominal mass
E. Constant hunger
A, B, E
A nurse is caring for a child who has Hirschsprung's disease. Which of the following actions should the nurse take?
A. Encourage a high-fiber, low-protein, low-calorie diet
B. Prepare the family for surgery
C. Place an NG tube for decompression
D. Initiate bed rest
B
A nurse is caring for an infant who is postoperative following cleft lip and palate repair. Which of the following actions should the nurse take?
A. Remove the packing in the mouth
B. Place the infant in an upright position
C. Offer a pacifier with sucrose
D. Assess the mouth with a tongue blade
B
A nurse is caring for a child who has Meckel's diverticulum. Which of the following manifestations should the nurse expect? (Select all that apply)
A. Abdominal pain
B. Fever
C. Mucus, bloody stools
D. Vomiting
E. Rapid, shallow breathing
A, C
A nurse is teaching a parent of an infant about gastrointestinal reflux disease. Which of the following should the nurse include in the teaching? (Select all that apply.)
A. Offer frequent feedings
B. Thicken formula with rice cereal
C. Use a bottle with a one-way valve
D. Position baby upright after feedings
E. Use a wide-based nipple for feedings
A, B, D
A nurse is teaching a parent of a child who has a urinary tract infection. Which of the following should the nurse include in the teaching? (Select all that apply.)
A. Wear nylon underpants
B. Avoid bubble baths
C. Empty bladder completely with each void
D. Provide information about manifestations of infection
E. Wipe perineal area back to front
B, C, D
A nurse is planning care of a child who has a urinary tract infection. Which of the following should the nurse include?
A. Administer an antidiuretic
B. Restrict fluids
C. Evaluate the child's self-esteem
D. Encourage frequent voiding
D
A nurse is caring for a child who has enuresis. Which of the following is a complication of enuresis?
A. Urinary tract infections
B. Emotional problems
C. Urosepsis
D. Progressive kidney disease
B
A nurse is assessing an infant who has a suspected urinary tract infection. Which of the following are anticipated findings? (Select all that apply).
A. Increase in hunger
B. Irritability
C. Decrease in urination
D. Vomiting
E. Fever
B, D, E
A nurse is assessing a child who has a urinary tract infection. Which of the following are manifestations of a urinary tract infection? (Select all that apply.)
A. Night sweats
B. Swelling of the face
C. Pallor
D. Pale-colored urine
E. Fatigue
B, C, E
A nurse is caring for an infant who has a hydrocele. Which of the following actions should the nurse take?
A. Prepare the child for surgery
B. Explain to the parents that the issue will self-resolve
C. Retract the foreskin and cleanse several times daily
D. Refer the family for genetic counseling
B
A nurse is caring for a male infant who has an epispadias. Which of the following findings should the nurse expect? (Select all that apply)
A. Bladder exstrophy
B. Inability to retract foreskin
C. Widened pubic symphysis
D. Broad, spade-like penis
E. Pain
A, C, D
A nurse is caring for an infant who has ambiguous genitalia. Which of the following actions should the nurse take? (Select all that apply).
A. Prepare the child for surgery
B. Obtain a detailed family history
C. Gather supplies for a circumcision
D. Refer the family for genetic counseling
E. Explain the need for a chromosomal analysis
A, B, D, E
A nurse is caring for an infant who has obstructive uropathy. Which of the following findings should the nurse expect? (Select all that apply.)
A. Decreased urine flow
B. Urinary tract infection
C. Metabolic alkalosis
D. Concentrated urine
E. Hydronephrosis
B, E [Show Less]