Chapter 22, The Child with Gastrointestinal Dysfunction Video Solutions, Wong’s Essentials of Pediatric Nursing

Problem 1

A 16-month-old has a history of diarrhea for 3 days with poor oral intake. He received intravenous (IV) fluids, has tolerated some oral fluids in the emergency department (ED), and is being discharged home. Instructions for diet for this child should include:
a. BRAT (bananas, rice, applesauce, and toast) diet for 24 hours, then a soft diet as tolerated
b. Chicken or beef broth for 24 hours, then resume a soft diet
c. Offer a regular diet as child's appetite warrants
d. Keep on clear liquids and toast for 24 hours

Eric Goldman

Numerade Educator

Problem 2

A 5-month-old infant is seen in the well-child clinic for a complaint of vomiting and failure to grow. His birth weight was 7 pounds, and he now weighs 8 pounds, 10 ounces. The infant's mother reports that he is taking 4 to 7 ounces of formula every 4 to 5 hours, but he "spits up a lot after eating and then is hungry again." The child is noted to be alert but appears malnourished. The mother reports his stools are brown in color, and he has one to two bowel movements every day. Based on these findings, the nurse anticipates the infant has:
a. Meckel diverticulum
b. Hypertrophic pyloric stenosis (HPS)
c. Intussusception
d. Hirschsprung disease

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01:51

Problem 3

Because many children with celiac disease require parenteral nutrition therapy, they are at risk for which of the following nutritional deficiencies when the PN is discontinued? Select all that apply.
a. Iron deficiency anemia
b. Folic acid deficiency
c. Zinc deficiency
d. Vitamin A, D, E, and K deficiency
e. Vitamin $B_{12}$ deficiency

Briana De La Torre

Numerade Educator

02:18

Problem 4

A formerly preterm infant who had surgery for necrotizing enterocolitis is now 6 months old and has short bowel syndrome. He is unable to absorb most nutrients taken by mouth and is totally dependent on parenteral nutrition (PN), which he receives via a Broviac catheter. The clinic nurse following this infant is aware that this infant should be closely observed for the development of:
a. Gastroesophageal reflux (GER)
b. Chronic diarrhea
c. Cholestasis
d. Failure to thrive

Ashok Prajapati

Numerade Educator

03:09

Problem 5

The nurse caring for a 4-month-old infant with biliary atresia (BA) and significant urticaria can anticipate administering:
a. Diphenhydramine
b. Ursodiol (ursodeoxycholic acid)
c. Loratadine
d. Ranitidine (Zantac)

Anand Jangid

Numerade Educator

02:48

Problem 6

Hepatitis A virus (HAV) is transmitted by which of the following? Select all that apply.
a. Breast milk from mother with HAV
b. Ingestion of contaminated food
c. Fecal-oral route
d. Casual contact with infected person
e. Blood transfusion

Asma Venkitta

Numerade Educator