Nokea
What is the most appropriate nursing action?
- A. Delay feeding the child for 6 hours.
- B. Offer regular formula thinned with water.
- C. Give small amounts of regular formula thickened with cereal.
- D. Allow 1 ounce of glucose water at frequent intervals.
Correct Answer: D
Rationale: Small, frequent glucose water feedings post-pyloric stenosis surgery support recovery while minimizing vomiting risk.
You may also like to solve these questions
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 suspect based on this information?
- A. Pinworms
- B. Giardiasis
- C. Ringworm
- D. Roundworm
Correct Answer: A
Rationale: Anal itching and scratching are characteristic symptoms of pinworm infection.
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.
What dietary modification would the nurse advise?
- A. Soft foods with rice, bananas, toast, and applesauce
- B. Small amounts of clear fluids such as gelatin
- C. An oral rehydrating solution, such as Pedialyte
- D. Chicken soup because it is high in sodium
Correct Answer: C
Rationale: An oral rehydrating solution like Pedialyte replaces fluids and electrolytes lost in mild diarrhea.
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.