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.
When planning care for the infant, the nurse should
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
A. "Schedule a time for your child to receive the pneumococcal vaccine within 2 weeks."
The pneumococcal vaccine is not indicated in the management of GABHS pharyngitis unless the child is due for it as part of routine immunization.
B. "Provide your child with their own towel for drying their face and hands at home."
GABHS is contagious. Using separate towels helps prevent transmission to other family members.
C. "Replace your child's toothbrush 24 hours after beginning antibiotic therapy."
To avoid reinfection, toothbrushes should be replaced 24 hours after starting antibiotics.
D. "Your child can return to school 24 hours after their first dose of antibiotics."
After 24 hours of antibiotic therapy and if afebrile, the child is no longer contagious and may return to school.
E. "Replace your child's orthodontic appliances prior to beginning antibiotic therapy."
There is no need to replace orthodontic appliances due to GABHS infection. Cleaning them is sufficient.
Correct Answer is B
Explanation
A. Decreased calories:
Calorie needs may vary, but withholding calories can lead to hypoglycemia.
B. Increased fluids
Illness increases the risk for dehydration and hyperglycemia. Increased fluid intake helps prevent dehydration and aids in clearing ketones.
C. Blood glucose monitoring every 8 hrs.:
Blood glucose should be checked more frequently—every 3 to 4 hours—not every 8 hours.
D. Urine testing for leukocytes:
Urine ketone testing (not leukocytes) is needed during illness in diabetics.
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