Nokea
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.
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What acid-base imbalance would the nurse expect to occur from this persistent vomiting?
- A. Hyperkalemia
- B. Hypernatremia
- C. Acidosis
- D. Alkalosis
Correct Answer: D
Rationale: Persistent vomiting causes loss of hydrochloric acid and sodium chloride, leading to metabolic alkalosis.
What instruction will the nurse give to parents about preventing the spread and reinfection of pinworms?
- A. Keep children's nails short.
- B. Dress child in loose-fitting underwear.
- C. Clean the bathroom with bleach solution.
- D. Wash bed linens in cold water.
Correct Answer: A
Rationale: Keeping nails short prevents pinworm eggs from collecting under them, reducing spread and reinfection.
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.
Parents have adopted a child with the diagnosis of kwashiorkor. What is most likely to be observed when assessing this child?
- A. Hyperactivity
- B. White streak in hair
- C. Edematous abdomen
- D. Slowed growth
- E. Thick, oily hair
Correct Answer: B,C,D
Rationale: Kwashiorkor presents with a white streak in hair (depigmentation), edematous abdomen, and slowed growth due to protein deficiency; the child is apathetic, with thin, dry hair.
What is the most appropriate action?
- A. Induce vomiting by giving the child syrup of ipecac.
- B. Take the child to the local emergency department.
- C. Give the child activated charcoal mixed with juice.
- D. Give the child milk to soothe affected mucous membranes.
Correct Answer: B
Rationale: Taking the child to the emergency department with the ingested substance's packaging is the safest action for dishwashing detergent ingestion.