Nokea
What description of a child's stool characteristic leads the nurse to suspect intussusception?
- A. Currant jelly
- B. Black and tarry
- C. Green liquid
- D. Greasy and foul-smelling
Correct Answer: A
Rationale: Currant jelly stools, consisting of blood and mucus, are indicative of intussusception due to intestinal obstruction.
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Which statement made by a parent alerts the nurse to the need for additional education about poison prevention?
- A. I keep the poison control center phone number easily accessible.'
- B. All medication is kept out of reach in a locked cabinet.'
- C. I keep a bottle of syrup of ipecac handy.'
- D. Our garden is free from marigolds.'
Correct Answer: C
Rationale: Keeping syrup of ipecac is outdated; the AAP recommends against it due to risks of uncontrolled vomiting.
A child is brought into the ED with suspected appendicitis.
- A. Left lower quadrant pain
- B. Guarding
- C. Rebound tenderness
- D. Decreased C-reactive protein
- E. Pain on lifting thigh when supine
Correct Answer: B,C,E
Rationale: Guarding, rebound tenderness, and pain on thigh lifting are signs of appendicitis; pain is in the right lower quadrant, and C-reactive protein is elevated.
What is the treatment of choice for a child with intussusception?
- A. A barium enema
- B. Immediate surgery
- C. IV fluids until the spasms subside
- D. Gastric lavage
Correct Answer: A
Rationale: A barium enema can often reduce intussusception by 'un-telescoping' the bowel, avoiding surgery.
Which nursing interventions will be implemented for the mother of a 10-month-old infant with nonorganic failure to thrive?
- A. Pointing out errors that the nurse observes when the mother is caring for the infant
- B. Discussing negative characteristics of the infant with the mother
- C. Having the nurse provide as much of the infant's care as possible
- D. Teaching the mother about the developmental milestones to expect in the next few months
Correct Answer: D
Rationale: Teaching about developmental milestones provides anticipatory guidance, supporting parental care in nonorganic failure to thrive.
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.