A child is admitted to the hospital and diagnosed with inflammatory bowel disease. The nurse should evaluate the patient for which most likely associated symptoms?

Fever, tachypnea, and tachycardia

Frequent stools, weight loss, and hyperactive bowels

Frequent stools, fever, and tachycardia

Constipation, fever, and weight loss

Answer and Explanation

The Correct Answer is B

IBD, which includes conditions such as Crohn's disease and ulcerative colitis, is characterized by chronic inflammation of the gastrointestinal tract. The symptoms can vary depending on the type and severity of the disease, but common symptoms in children with IBD include:

Children with IBD often experience increased frequency of bowel movements, which may be loose or watery. This is often accompanied by urgency and a sense of incomplete evacuation.
Chronic inflammation in the gastrointestinal tract can interfere with nutrient absorption, leading to poor appetite, decreased intake, and subsequent weight loss. In severe cases, malnutrition may occur.
Inflammatory processes in the intestines can lead to increased motility and peristalsis, resulting in hyperactive bowel sounds.

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Correct Answer is C

Explanation

Toddlers often experience separation anxiety when separated from their primary caregivers. Having the parents stay with the child in the hospital, commonly known as rooming in, can provide a sense of security and familiarity, which helps alleviate separation anxiety. It allows the child to have a consistent presence and promotes a nurturing and comforting environment.

While explaining procedures and routines can be helpful, it may not fully address the underlying separation anxiety experienced by the toddler. Providing for privacy and encouraging contact with children the same age may not directly address the primary source of anxiety, which is being separated from the parents.

A. The fever caused by Gastroenteritis. B. A side effect of the antibiotics used to treat Gastroenteritis. C. Administration of IV Furosemide to treat Gastroenteritis. D. The nausea and vomiting associated with gastroenteritis.

Correct Answer is D

Explanation

Nausea and vomiting can lead to excessive loss of fluids and electrolytes, including potassium, from the body. Gastroenteritis is an inflammation of the gastrointestinal tract typically caused by viral or bacterial infections. It is commonly characterized by symptoms such as diarrhea, vomiting, abdominal pain, and fever. Antibiotics are not typically used to treat viral gastroenteritis and would not directly cause the electrolyte imbalance. Administration of IV Furosemide, a diuretic, would increase urine output but is not typically used to treat gastroenteritis. The fever itself may contribute to fluid loss but would not directly cause the electrolyte imbalance.

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A child is admitted to the hospital and diagnosed with inflammatory bowel disease. The nurse should evaluate the patient for which most likely associated symptoms?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An appropriate nursing intervention to minimize separation anxiety in a hospitalized toddler is to:

Correct Answer is C

Explanation

Jo is admitted to the hospital with Gastroenteritis. Labs show a potassium (K+ level of 2.8 meQ/dL and sodium (Nat level of 135 meq/dL. The nurse knows that the electrolyte imbalance may be caused by ...

Correct Answer is D

Explanation

The nurse will plan to teach a patient who has pernicious anemia about the need for:

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