Which of the following is most correct regarding the gastrointestinal system of the child?
The enzymes secreted by the child’s liver and pancreas are much greater in amount than in the adult.
The speed with which food passes through the gastrointestinal tract in the child is much slower than in the adult.
The child’s gastrointestinal system is fully matured when the child is born.
The child cannot break down and use complex carbohydrates in the same way the adult can.
The Correct Answer is D
Choice A reason: Children’s liver and pancreatic enzyme levels are not greater than adults’ but are sufficient for age-specific needs. Complex carbohydrate digestion is limited in children due to immature enzymes, making this inaccurate and incorrect compared to the carbohydrate metabolism difference in pediatric gastroenterology.
Choice B reason: Food passes through a child’s gastrointestinal tract faster, not slower, due to shorter intestines and higher motility. Limited complex carbohydrate digestion is the key difference, making this incorrect, as it misrepresents the speed of pediatric gastrointestinal transit compared to adults.
Choice C reason: The child’s gastrointestinal system is not fully mature at birth; it develops over years, particularly in enzyme function. Inability to digest complex carbohydrates reflects this immaturity, making this incorrect compared to the accurate statement about carbohydrate metabolism limitations in children.
Choice D reason: Children have limited ability to break down complex carbohydrates due to immature digestive enzymes, like amylase, compared to adults. This aligns with pediatric gastroenterology evidence, making it the most correct statement about the child’s gastrointestinal system development and function in digestion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Signing a form to bypass pregnancy testing violates isotretinoin safety protocols, risking fetal harm due to teratogenicity. Encouraging testing ensures compliance, making this unsafe and incorrect compared to addressing the caregiver’s concerns while prioritizing the teen’s safety for acne treatment.
Choice B reason: Speaking to the teen alone respects privacy but doesn’t address the caregiver’s refusal or ensure testing compliance, required for isotretinoin. Encouraging testing with the caregiver’s consent is safer, making this inadequate and incorrect compared to securing agreement for mandatory pregnancy testing.
Choice C reason: Acknowledging the caregiver’s discomfort builds trust while emphasizing the necessity of pregnancy testing for isotretinoin’s safe use, preventing fetal harm. This aligns with pediatric medication safety protocols, making it the best action to ensure the 16-year-old can safely receive acne treatment.
Choice D reason: Testing without caregiver knowledge violates consent and trust, risking legal and ethical issues. Encouraging open discussion ensures compliance, making this unethical and incorrect compared to the nurse’s role in facilitating agreement for required pregnancy testing for the teen’s isotretinoin therapy.
Correct Answer is ["C","D","E"]
Explanation
Choice A reason: Discussing care options involves clinical judgment, which is the nurse’s responsibility, not delegable to family. Providing comfort tasks like swabs or pads is appropriate, making this incorrect, as it involves professional decision-making unsuitable for family delegation in the adolescent’s care.
Choice B reason: Keeping medical equipment like a blood pressure cuff involves monitoring, a nursing task, not delegable to family. Comfort tasks like providing swabs or pillows are suitable, making this incorrect, as it requires clinical skills beyond family’s role in the terminally ill adolescent’s care.
Choice C reason: Supplying mouth swabs for lip moistening is a simple comfort task family can perform, promoting involvement and patient comfort. This aligns with pediatric palliative care delegation, making it a correct intervention to delegate to family for the terminally ill adolescent’s care.
Choice D reason: Providing disposable pads for hygiene is a non-clinical task family can manage, supporting dignity and comfort. This aligns with family involvement in palliative care, making it a correct intervention to delegate for the terminally ill adolescent’s care in the hospital setting.
Choice E reason: Supplying pillows for repositioning is a comfort-focused task family can handle, enhancing the adolescent’s well-being. This aligns with pediatric palliative care principles, making it a correct intervention to delegate to family members for the terminally ill adolescent’s hospital care.
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