Nokea
Which grain will the nurse explain can be eaten with celiac disease?
- A. Wheat
- B. Oats
- C. Barley
- D. Rice
Correct Answer: D
Rationale: Rice is a gluten-free grain safe for children with celiac disease, unlike wheat, oats, and barley.
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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.
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.
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.
Which assessment would the nurse report to the physician immediately?
- A. 2-month-old with a urine output of 150 mL in 24 hours
- B. 3-year-old with a urine output of 650 mL in 24 hours
- C. 8-year-old with a urine output of over 1000 mL in 24 hours
- D. 14-year-old with a urine output of 800 mL in 24 hours
Correct Answer: A
Rationale: A 2-month-old's urine output of 150 mL/24 hours is significantly below the expected 400-500 mL, indicating possible dehydration.
Which is the most appropriate intervention for a 3-month-old infant who has gastroesophageal reflux?
- A. Position the infant in the crib on his or her abdomen, with the head elevated.
- B. Administer medication as ordered to stimulate the pyloric sphincter.
- C. Give thin rice cereal with formula before feeding solid foods.
- D. Place the infant in an infant seat after feedings.
Correct Answer: A
Rationale: Prone positioning with the head elevated reduces intraabdominal pressure and helps manage gastroesophageal reflux.