Nokea
Which statement made by her mother that may suggest a cause for her condition?
- A. I've been airing out the house on these nice breezy days.'
- B. My child often goes out to the garden and pulls up a carrot to eat.'
- C. She runs barefoot so much I have to wash her feet at least twice a day.'
- D. We just remodeled our bathroom at home.'
Correct Answer: B
Rationale: Eating unwashed vegetables from the garden can expose the child to roundworm eggs in contaminated soil.
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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.
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 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.
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.
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.