MULTIPLE RESPONSE

1. A child who has just had definitive repair of a high rectal malformation is to be discharged. Which should the nurse address in the discharge preparation of this family? (Select all that apply.)

a. Perineal and wound care

b. Necessity of firm stools to keep suture line clean

c. Bowel training beginning as soon as child returns home

d. Reporting any changes in stooling patterns to practitioner

e. Use of diet modification to prevent constipation

2. Which is true concerning hepatitis B? (Select all that apply.)

a. Hepatitis B cannot exist in carrier state.

b. Hepatitis B can be prevented by HBV vaccine.

c. Hepatitis B can be transferred to an infant of a breastfeeding mother.

d. Onset of hepatitis B is insidious.

e. Principal mode of transmission for hepatitis B is fecal-oral route.

f. Immunity to hepatitis B occurs after one attack.

3. A nurse is planning preoperative care for a newborn with tracheoesophageal fistula (TEF). Which interventions should the nurse plan to implement? (Select all that apply.)

a. Positioning with head elevated on a 30-degree plane

b. Feedings through a gastrostomy tube

c. Nasogastric tube to continuous low wall suction

d. Suctioning with a Replogle tube passed orally to the end of the pouch

e. Gastrostomy tube to gravity drainage

4. The nurse is preparing to care for an infant returning from pyloromyotomy surgery. Which prescribed orders should the nurse anticipate implementing? (Select all that apply.)

a. NPO for 24 hours

b. Administration of analgesics for pain

c. Ice bag to the incisional area

d. IV fluids continued until tolerating PO

e. Clear liquids as the first feeding

5. A nurse is conducting dietary teaching on high-fiber foods for parents of a child with constipation. Which foods should the nurse include as being high in fiber? (Select all that apply.)

a. White rice

b. Avocados

c. Whole grain breads

d. Bran pancakes

e. Raw carrots

SHORT ANSWER

1. A child has an NG tube to continuous low intermittent suction. The physician’s prescription is to replace the previous 4-hour NG output with a normal saline piggyback over a 2-hour period. The NG output for the previous 4 hours totaled 50 ml. What milliliter/hour rate should the nurse administer to replace normal saline piggyback? (Record your answer in a whole number.)