Nokea
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.
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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.
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Rationale: Keeping syrup of ipecac is outdated; the AAP recommends against it due to risks of uncontrolled vomiting.
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.
What interventions will the nurse perform when feeding a child with pyloric stenosis?
- A. Give a formula thinned with water.
- B. Burp the infant before and during feeding.
- C. Give the feeding slowly.
- D. Refeed if the infant vomits.
- E. Position infant on left side after feeding.
Correct Answer: B,C,D
Rationale: Burping, slow feeding, and refeeding if vomiting occurs help manage pyloric stenosis; the infant is positioned on the right side, not left.
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.