Nokea
The nurse knows that the child needs to consume how many milliliters of oral fluid to make up for the fluid loss?
- A. 18
- B. 36
- C. 64
- D. 81
Correct Answer: D
Rationale: For an 18-pound (8.1 kg) child, 10 mL/kg yields 81 mL of oral fluid to replace losses from one diarrheal stool.
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Which statement made by her mother that may suggest a cause for her condition?
- A. I've been airing out the house on these nice breezy days.'
- B. My child often goes out to the garden and pulls up a carrot to eat.'
- C. She runs barefoot so much I have to wash her feet at least twice a day.'
- D. We just remodeled our bathroom at home.'
Correct Answer: B
Rationale: Eating unwashed vegetables from the garden can expose the child to roundworm eggs in contaminated soil.
What would be included in regard to potential side effects?
- A. Diarrhea
- B. Skin rash
- C. Red stool
- D. Metallic taste
Correct Answer: C
Rationale: Pyrvinium, used for pinworm treatment, commonly causes red stools and can stain clothing.
What would the nurse expect the parents to report?
- A. Diarrhea
- B. Projectile vomiting
- C. Poor appetite
- D. Constipation
Correct Answer: B
Rationale: Projectile vomiting is a hallmark symptom of pyloric stenosis due to obstruction at the pyloric sphincter.
What does the nurse expect the appearance of the stools of a child with celiac disease to be?
- A. Ribbon like
- B. Hard, constipated
- C. Bulky, frothy
- D. Loose, foul-smelling
Correct Answer: C
Rationale: Bulky, frothy stools indicate malabsorption, a common feature of celiac disease.
What would the nurse expect to find in a child admitted to the hospital for nonorganic failure to thrive?
- A. Cry to be picked up
- B. Be limp like a rag doll
- C. Be responsive to cuddling
- D. Weigh in the 10th percentile for age
Correct Answer: B
Rationale: Rag-doll limpness (hypotonia) is a characteristic finding in nonorganic failure to thrive, often with wariness of caregivers.