11. A school-age child with diarrhea has been rehydrated. The : 1361526.
11. A school-age child with diarrhea has been rehydrated. The nurse is discussing the child’s diet with the family. Which statement by the parent would indicate a correct understanding of the teaching?
a. “I will keep my child on a clear liquid diet for the next 24 hours.”
b. “I should encourage my child to drink carbonated drinks but avoid food for the next 24 hours.”
c. “I will offer my child bananas, rice, applesauce, and toast for the next 48 hours.”
d. “I should have my child eat a normal diet with easily digested foods for the next 48 hours.”
12. A young child is brought to the emergency department with severe dehydration secondary to acute diarrhea and vomiting. Therapeutic management of this child should begin with:
a. intravenous (IV) fluids.
c. clear liquids, 1 to 2 ounces at a time.
d. administration of antidiarrheal medication.
13. A mother calls the clinic nurse about her 4-year-old son who has acute diarrhea. She has been giving him the antidiarrheal drug loperamide (Imodium A-D). The nurse’s response should be based on knowledge that this drug is:
a. not indicated.
b. indicated because it slows intestinal motility.
c. indicated because it decreases diarrhea.
d. indicated because it decreases fluid and electrolyte losses.
14. Constipation has recently become a problem for a school-age girl. She is healthy except for seasonal allergies that are being treated with antihistamines. The nurse should suspect that the constipation is most likely caused by:
d. emotional factors.
15. Which is a high-fiber food that the nurse should recommend for a child with chronic constipation?
d. Ripe bananas
16. Which therapeutic management treatment is implemented for children with Hirschsprung disease?
a. Daily enemas
b. Low-fiber diet
c. Permanent colostomy
d. Surgical removal of affected section of bowel
17. Enemas are ordered to empty the bowel preoperatively for a child with Hirschsprung disease. The enema solution should be:
a. tap water.
b. normal saline.
c. oil retention.
d. phosphate preparation.
18. A 3-year-old child with Hirschsprung disease is hospitalized for surgery. A temporary colostomy will be necessary. The nurse should recognize that preparing this child psychologically is:
a. not necessary because of child’s age.
b. not necessary because colostomy is temporary.
c. necessary because it will be an adjustment.
d. necessary because the child must deal with a negative body image.
19. The nurse is explaining to a parent how to care for a school-age child with vomiting associated with a viral illness. Which action should the nurse include?
a. Avoid carbohydrate-containing liquids.
b. Give nothing by mouth for 24 hours.
c. Brush teeth or rinse mouth after vomiting.
d. Give plain water until vomiting ceases for at least 24 hours.
20. A 4-month-old infant has gastroesophageal reflux (GER) but is thriving without other complications. Which should the nurse suggest to minimize reflux?
a. Place in Trendelenburg position after eating.
b. Thicken formula with rice cereal.
c. Give continuous nasogastric tube feedings.
d. Give larger, less frequent feedings.