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A nurse is caring for an infant on an inpatient pediatric unit.

Select words from the choices below to fill in each blank in the following sentence.

Exhibits

When planning care for the infant, the nurse should

and .
Answer and Explanation

The Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"D"}

When planning care for the infant, the nurse should prepare the infant for a rectal biopsy and frequently measure abdominal circumference.

 

Rationale for correct answers:

 

Prepare the infant for a rectal biopsy: Confirms diagnosis of Hirschsprung disease, which is suspected based on symptoms and enema findings.

Frequently measure abdominal circumference: Monitors abdominal distension, a key sign in bowel obstruction or worsening condition.

Rationale for incorrect answers:

Explain the purpose of the pyloromyotomy: This procedure is for pyloric stenosis, not Hirschsprung disease.

Transport the client for a radiologist guided gas enema: Contrast enema already performed.

Administer oral laxatives: Contraindicated in suspected bowel obstruction like Hirschsprung disease.


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Related Questions

Correct Answer is A

Explanation

A. "I should pull the pinna down and back."

For children younger than 3 years, pulling the pinna down and back straightens the ear canal for proper drop administration.

B. "I should insert the dropper into the ear canal."

The dropper should never be inserted into the canal to prevent injury or contamination.

C. "I should administer the ear drops right out of the refrigerator."

Cold ear drops can cause dizziness. Warm the bottle in the hand before use.

D. "I should massage the area behind the ear."

The correct technique involves massaging the tragus (front of the ear canal), not behind the ear.

Correct Answer is A

Explanation

A. Iron deficiency anemia

Whole milk is low in iron and can interfere with iron absorption. Excessive milk intake can also displace iron-rich foods from the diet, increasing the risk of iron deficiency anemia.

B. Vitamin A toxicity

Vitamin A toxicity is usually caused by over-supplementation, not milk intake. Milk does contain vitamin A, but not in levels high enough to cause toxicity in this context.

C. Impaired carbohydrate metabolism

There is no link between drinking whole milk and impaired carbohydrate metabolism. This would be more associated with inborn errors of metabolism.

D. Lactose intolerance

Lactose intolerance presents with gastrointestinal symptoms (bloating, diarrhea, etc.) after consuming dairy, not poor appetite. Also, toddlers with lactose intolerance typically avoid milk due to discomfort.

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