Quiz
GI/GU
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Fragen in diesem Quiz (37)
1Over half the infants fluid is extracellular and kidneys are immature at helping balance fluids so they are at high risk for fluid imbalance.
- ARichtig
- BFalsch
2The nurse is teaching the mother of a 5-year-old boy with a history of impaction how to administer enemas at home. Which of the following responses from the mother indicates a need for further teaching?
- A“I should position him on his abdomen with knees bent.”
- B“He will require 250 to 500 mL of enema solution.”
- C“I should wash my hands and then wear gloves.”
- D“He should retain the solution for 5 to 10 minutes.”
3Tachycardia is usually the first sign of dehydration
- ARichtig
- BFalsch
4The nurse is taking a health history of an 11-year-old girl with recurrent abdominal pain. Which of the following responses would lead the nurse to suspect irritable bowel syndrome?
- A“I always feel better after I have a bowel movement.”
- B“I don't take any medicine right now.”
- C“The pain comes and goes.”
- D“The pain doesn't wake me up in the middle of the night.”
5The nurse is conducting a physical examination of a child with suspected Crohn disease. Which of the following findings would be the most highly suspicious of Crohn disease?
- ANormal growth patterns
- BPerianal skin tags or fissures
- CPoor growth patterns
- DAbdominal tenderness
6The nurse is caring for an infant with a temporary ileostomy. As part of the plan of care, the nurse monitors for skin breakdown around the stoma. If redness occurs, which of the following would be most appropriate to promote healing and prevent further skin breakdown?
- AClean the area well with a scented diaper wipe.
- BApply a barrier/healing cream or paste on the skin.
- CUse a barrier wafer (such as Stomahesive) to attach the appliance.
- DSanitize the area with an alcohol wipe after each diaper change.
7A nurse is caring for a 14-year-old girl scheduled for a barium swallow/upper gastrointestinal (GI) series. Before providing instructions, which of the following would be the priority?
- AScreening the girl for pregnancy
- BReminding her to drink plenty of fluids after the procedure
- COrdering a bowel prep
- DReminding the girl about potential light-colored stools
8When examining the abdomen of a child, which technique would the nurse use last?
- AAuscultation
- BPercussion
- CPalpation
- DInspection
9The nurse is determining maintenance fluid requirements for a child who weighs 25 kg. How much fluid would the child need per day?
- A1560
- B1600
- C1650
- D1700
10The parents of a child diagnosed with celiac disease ask the nurse what types of food they can offer their child. Which of the following would the nurse include in the teaching plan?
- AFrozen yogurt
- BRye bread
- CCreamed spinach
- DFruit juice
11The nurse is providing care to a child with an intussusception. The child has a bowel movement and the nurse inspects the stool. The nurse would document the stool's appearance most likely as which of the following?
- AGreasy
- BClay-color(cholecystitis/gallbladder inflammation)
- CCurrant jelly–like
- DBloody
12A group of students are reviewing information about fluid balance and losses in children in comparison to adults. The students demonstrate a need for additional review when they identify which of the following?
- AChildren have a proportionately greater amount of body water than do adults.
- BFever plays a greater role in insensible fluid losses in infants and children.
- CA higher metabolic rate plays a major role in increased insensible fluid losses.
- DThe infant's immature kidneys have a tendency to overconcentrate urine more.
13An 8-month-old infant is brought to the clinic for evaluation. The mother tells the nurse that she has noticed some white patches on the infant's tongue that look like curdled milk after breastfeeding. The nurse suspects oral candidiasis (thrush). Which question would the nurse use to help confirm this suspicion?
- A“Are you having breast pain when you nurse the baby?”
- B“Has he had any dairy problems recently?”
- C“Is he experiencing any vomiting lately?”
- D“How have his stools been this past week?”
14The parents of a 6-week-old boy come to the clinic for evaluation because the infant has been vomiting. The parents report that the vomiting has been increasing in frequency and forcefulness over the last week. The mother says, “Sometimes, it seems like it just bursts out of his mouth.” A diagnosis of hypertrophic pyloric stenosis is suspected. When performing the physical examination, which of the following would the nurse most likely find?
- ASausage-shaped mass in the upper midabdomen
- BHard, moveable, olive-shaped mass in the right upper quadrant
- CTenderness over the McBurney point in the right lower quadrant
- DAbdominal pain in the epigastric or umbilical region
15hirschsprung (MEGACOLON) is a condition where the lack of ganglion in the colon cause a build up of feces and
that requires surgery- ARichtig
- BFalsch
16The nurse is providing care to a child with pancreatitis. When reviewing the child's laboratory test results, which of the following would the nurse expect to find? Select all answers that apply.
- ALeukocytosis
- BDecreased C-reactive protein
- CElevated serum amylase levels
- DPositive stool culture
- EDecreased serum lipase levels
17The nurse is visually inspecting a urine specimen from a 12-year-old boy. The nurse documents gross hematuria with a specimen of which color?
- ACloudy yellow
- BCola colored
- CPale to almost clear urine
- DLight orange to moderately yellow colored
18The nurse is caring for an infant with bladder exstrophy. As part of the infant's preoperative plan of care, the nurse monitors for abdominal skin excoriation. Which action would be most appropriate for promoting healing and preventing further skin breakdown?
- ACleaning the area well with a scented diaper wipe
- BApplying a barrier/healing cream or paste on skin
- CKeeping the bladder moist and covered with a sterile bag
- DCovering the area with sterile gauze pads after tub baths
19The nurse is taking a health history of a child with suspected acute poststreptococcal glomerulonephritis. Which of the following responses would alert the nurse to a confirmed risk factor for this condition?
- A“She has been very healthy up to now.”
- B“He just got over a head cold with laryngitis.”
- C“My child is just 18 months old.”
- D“My child has not been sick at all.”
20After teaching the parents of a child with a hydrocele(swollen scrotum) about this condition, which statement indicates that the teaching was successful?
- A“If this gets worse and we don't treat it, our son could become infertile.”
- B“This condition should gradually go away on its own.”
- C“The surgeon is going to operate on him immediately.”
- D“It's going to be difficult putting ice packs on his scrotum.”
21A nurse is conducting a physical examination of an infant and observes the urethral opening on the dorsal side of the penis. The nurse documents this finding as which of the following?
- AHypospadias
- BEpispadias
- CVaricocele
- DHydrocele
22The nurse is reviewing the laboratory test results of a child with nephrotic syndrome. Which of the following would the nurse least likely expect to find?
- AHyperlipidemia
- BHypoalbuminemia
- CDecreased blood urea nitrogen (BUN)
- DHypoproteinemia
23A nurse is preparing a presentation for a local parent group about urinary tract infections (UTIs) in children. Which of the following would the nurse incorporate into the presentation as the most common cause?
- AKlebsiella
- BEscherichia coli
- CStaphylococcus aureus
- DPseudomonas
24A nurse is interviewing the parents of a child diagnosed with obstructive uropathy. Which statement by the parents would the nurse identify as significant?
- A“She's been constipated quite a few times.”
- B“We've noticed that her bed is wet in the morning.”
- C“She had surgery to repair a problem with her anus.”
- D“She had a bacterial skin infection about a week ago.”
25The nurse is preparing an 8-year-old girl for a cystoscopy(bladder scope). Which instruction would be most appropriate to give to the child?
- A“You need to make sure that you don't go to the bathroom before the test.”
- B“You might feel some burning when you go to the bathroom afterward.”
- C“I'm going to have to put a tube into your bladder to empty it.”
- D“I have to put a thick tight rubber band around your arm to get a blood specimen.”
26A child returns from surgery in which a stoma was created in the abdominal wall to the bladder. The nurse identifies this as which of the following?
- AVesicostomy
- BUreteral stent
- CContinent urinary diversion
- DBladder augmentation
27Cleft lip and palate develops at 6-12 weeks gestation and is increased by
- ADilatin med for seizure
- BSmoking
- CExercise
- DCocaine
28One symptom of Hypertrophic Pyloric Stenosis
- ANon bilious projectile vomiting
- BDiarrhea
- CConstipation
- DPolyurea
29Tracheoesophageal Fistula/Esophageal Atresia symptom is
- AFrothy spit and occasional cyanosis when eating
- Bdiarrhea
- CConstipation
- DSweating
30umbilical hernias for newborns will go away on its own by the time your child is 2 or 3 years old, although some continue to improve until the age of 5.
- ARichtig
- BFalsch
31Omphalocele- embroylogically when intestines form they form outside the go inside but for these infants they don’t go back into body but there IS the membrane around it
- ARichtig
- BFalsch
32Symptoms of a Diaphratic Hernia which is when intestines and other abdominal organs enter thoracic cavity
- Alung may be immature becaue lung didn’t have a chance to grow
- Bacute respiratory distress, cyanosis,
- Cscaphoid abdomen because intestines are pushed into thoracic cavity
- DSweat
33Acid goes up and burns esophagus for hiatal hernia because The top of the stomach is either sliding up or it pushes up into esophageal sphincter
- ARichtig
- BFalsch
34With inguinal hernia is most common with men and the most common complaint after surgery
- Ainnabilty to void so evaluate before discharge
- BHeadache
- CVomit
- DDiarrhea
35Cholecystitis poop is ____ colored because of bele duct blockage
- AGRAY
- BBLACK
- CRED
- DGREEN
36Cholelithiasis (stones),bile is blocked and autolysis is stimulated causing stenosis and possible rupture
- AFemale,Fat, Forty, Fertile
- BMale
- CAlcoholic
- DWeed smoker
37Treatment for Cholecystitis
- A80% of acute cholecystitis achieves remission with rest, IV fluids, ng suction, analgesia and antibiotics
- BLow fat diet
- CERCP (endoscopic retrograde cholangeopancreatography) solvent is infused into gallbladder to dissolve stones
- DPost-op: teach can use a heating pad for right shoulder pain, Call MD for anorexia, vomiting, pain, abd distension, fever
- ETylenol
Informationen
- Beschreibung
- Quiz am GI/GU, erstellt von Becky Jean am 16/12/2017.
- Autor
- Becky Jean
- Sprache
- English
- Aufrufe
- 1
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