328 Week 5 Class 1

Front

The nurse is caring for a 3-month-old being evaluated for possible Hirschsprung disease. His parents call the nurse and show her his diaper containing a large amount of mucus and bloody diarrhea. The nurse notes that the infant is irritable and his abdomen appears very distended. Which should be the nurse’s next action?

Back

Immediately obtain all vital signs with a quick head-to-toe assessment.

Front

The nurse is caring for an 8-week-old male who has just been diagnosed with Hirschsprung disease. The parents ask what they should expect. Which is the nurse’s best response?

Back

Although your child will require surgery, there are different ways to manage the disease, depending on how much bowel is involved.

Front

A 10-year-old is being evaluated for possible appendicitis and complains of nausea and sharp abdominal pain in the right lower quadrant. An abdominal ultrasound is scheduled, and a blood count has been obtained. The child vomits, finds the pain relieved, and calls the nurse. What should be the nurse's next action?

Back

Immediately notify the health-care provider of the child’s status.

Front

The nurse is caring for a 5-month-old infant with a diagnosis of intussusception. The infant has periods of irritability during which the knees are brought to the chest and the infant cries, alternating with periods of lethargy. Vital signs are stable and within age-appropriate limits. The health-care provider elects to give an enema. The parents ask the purpose of the enema. Which is the nurse’s most appropriate response?

Back

The enema will help confirm the diagnosis and has a good chance of fixing the intussusception.

Front

The nurse is caring for an 8-week-old infant being evaluated for pyloric stenosis. Which statement by the parent would be typical for a child with this diagnosis? Options: “The baby is a very fussy eater and just does not want to eat.”, “The baby tends to have a very forceful vomiting episode about 30 minutes after most feedings.”, “The baby is always hungry after vomiting, so I feed her again.”, “The baby is happy in spite of getting really upset after spitting up.”

Back

The baby is always hungry after vomiting, so I feed her again.

Front

A child had a urinary tract infection (UTI) 3 months ago and was treated with an oral antibiotic. A follow-up urinalysis revealed normal results. The child has had no other problems until this visit when the child was diagnosed with another UTI. Which is the most appropriate plan?

Back

Obtain urinalysis and urine culture.

Front

Which child does not need a urinalysis to evaluate for a urinary tract infection (UTI)? A 4-month-old female presenting with a 2-day history of fussiness and poor appetite; current vital signs include axillary T 100.8°F (38.2°C), HR 120 beats per minute. A 4-year-old female who states, “It hurts when I pee”; she has been urinating every 30 minutes; vital signs are within normal range. A 12-year-old female complaining of pain to her lower right back; she denies any burning or frequency at this time; oral temperature of 101.5°F (38.6°C).

Back

An 8-year-old male presenting with a finger laceration; mother states he had surgical re-implantation of his ureters 2 years ago.

Front

Which is the best way to obtain a urine sample in an 8-month-old being evaluated for a urinary tract infection (UTI)? Options: Carefully cleanse the perineum from front to back and apply a self-adhesive urine collection bag to the perineum., Insert an indwelling Foley catheter, obtain the sample, and wait for results., Place a sterile cotton ball in the diaper and immediately obtain the sample with a syringe after the first void, Using a straight catheter, obtain the sample and immediately remove the catheter without waiting for the results of the urine sample.

Back

Using a straight catheter, obtain the sample and immediately remove the catheter without waiting for the results of the urine sample.

Front

At a follow up visit for an 8-year-old who is being evaluated for short stature, the nurse measures and plots the child's height on the growth chart. Which explanation should the nurse give the child and family?

Back

We need to see how much you have grown since your last visit.

Front

What information should the nurse provide about type 1 diabetes mellitus?

Back

Characterized mainly by insulin deficiency.