Deck 53: The Child With Alterations in Gastrointestinal Function

Question 1

The nurse is administering several medications to an infant with neurologic impairment and delay.The medication that utilizes a proton pump inhibitor administered for gastroesophageal reflux is:

A)Omeprazole (Prilosec).
B)Ranitidine (Zantac).
C)Phenytoin (Dilantin).
D)Glycopyrrolate (Robinul).

Answer 1

Omeprazole (Prilosec).

Question 2

The nurse is evaluating an infant's tolerance of a feeding post-pyloromyotomy.Which finding indicates the infant is not tolerating the feeding?

A)Need for burping after 30 cc
B)Presence of bowel sounds
C)Passing gas
D)Emesis

Answer 2

Emesis

Question 3

The parents demonstrate that they have understood the nurse's teaching with regard to colostomy stoma care for their infant if they state:

A)"We will change the colostomy bag with each wet diaper."
B)"We will use adhesive enhancers when we change the bag."
C)"We will watch for skin irritation around the stoma."
D)"We will expect a small amount of bleeding after cleansing the area around the stoma."

Answer 3

"We will watch for skin irritation around the stoma."

Question 4

A child with severe gastroenteritis is being admitted to a semiprivate room on the pediatric unit.The nurse in charge should place this client with which roommate?

A)An infant with meningitis
B)A child with fever and neutropenia
C)Another child with gastroenteritis
D)A child recovering from an appendectomy

Question 5

A child with inflammatory bowel disease is taking prednisone daily.The family should be taught to administer the prednisone:

A)Between meals.
B)1 hour before meals.
C)At bedtime.
D)With meals.

Question 6

A nurse is preparing for the delivery of a newborn with a known diaphragmatic hernia defect.The equipment the nurse prepares is:

A)An intubation setup.
B)An appropriate bag and mask.
C)Sterile gauze and saline.
D)Soft arm restraints.

Question 7

The nurse is measuring the abdominal girth of a child with abdominal distention.On the photo shown,identify the area on the child's abdomen where the tape measure should be placed for an accurate abdominal girth.

A)Just above the umbilicus,around the largest circumference of the abdomen
B)Below the umbilicus
C)Just below the sternum
D)Across the symphysis pubis

Question 8

A neonate is being fed 20 mL every 3 hours by orogastric gavage.At the beginning of this feeding,the nurse aspirates 15 mL of gastric residual.The nurse should:

A)Withhold the feeding and notify the physician.
B)Replace the residual and continue with the full feeding.
C)Replace the residual,but only give 5 mL of the feeding.
D)Withhold the feeding and check the residual in 3 hours.

Question 9

A newborn has been diagnosed with Hirschsprung's disease.The parents ask the nurse about the symptoms that lead to this diagnosis.The nurse should explain that common symptoms are:

A)Acute diarrhea;dehydration.
B)Failure to pass meconium;abdominal distention.
C)Currant jelly,gelatinous stools;pain.
D)Projectile vomiting;altered electrolytes.

Question 10

An infant has been born with an esophageal atresia and tracheoesophageal fistula.What is a priority preop nursing diagnosis?

A)Risk for aspiration related to regurgitation
B)Acute pain related to esophageal defect
C)Ineffective infant feeding pattern related to uncoordinated suck and swallow
D)Ineffective tissue perfusion: gastrointestinal related to decreased circulation

Question 11

An infant born with an omphalocele defect is being admitted to the intensive care nursery.The nurse in charge should instruct the nursing technician to prepare a:

A)Warmer.
B)Crib.
C)Feeding of formula.
D)Bilirubin light.

Question 12

The nurse is preparing to ambulate an 11-year-old child who has had an appendectomy.In addition to pharmacologic pain management,the nurse can use which nonpharmacologic pain management strategy for this client?

A)A heating pad
B)A warm,moist pack
C)A pillow to splint the incisional area
D)An ice pack

Question 13

The nurse has taught the parents of a child with celiac disease about allowed foods.The nurse should explain that which of the following would be an allowed meal?

A)Pizza with milk
B)Spaghetti and meat sauce with juice
C)Hot dog on a bun with a shake
D)Fruit plate with Gatorade

Question 14

A nurse is preparing an educational session with parents of newborns.Which of the following would be included in the teaching in relation to the differences seen in newborns and their gastrointestinal system? Select all that apply.

A)Newborns have increased peristalsis.
B)Newborns get more gas in the abdomen.
C)Swallowing is voluntary at birth.
D)Newborns have decreased peristalsis.
E)Newborns have a smaller stomach capacity.

Question 15

The nurse is planning postop care for an infant after a cleft lip repair.The plan should include:

A)Prone positioning.
B)Suctioning with a Yankauer device.
C)Supine or side-lying positioning.
D)Avoidance of soft elbow restraints.