A 3-month-old is being evaluated for possible Hirschsprung disease. His parents call the nurse and show his diaper containing a large amount of mucus and bloody diarrhea. The nurse notes that the infant is irritable and has a very distended abdomen. Which should be the nurse's next action?

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NCLEX Pediatric Gastrointestinal Practice Questions Questions

Question 1 of 5

A 3-month-old is being evaluated for possible Hirschsprung disease. His parents call the nurse and show his diaper containing a large amount of mucus and bloody diarrhea. The nurse notes that the infant is irritable and has a very distended abdomen. Which should be the nurse's next action?

A. Reassure the parents that this is an expected finding and not uncommon. B. Call a code for a potential cardiac arrest, and stay with the infant. C. Immediately obtain all vital signs with a quick head-to-toe assessment. D. Obtain a stool sample for occult blood.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

The nurse is caring for a newborn who has just been diagnosed with tracheoesophageal fistula and is scheduled for surgery. Which should the nurse expect to do in the pre-operative period?

A. Keep the child in a monitored crib, obtain frequent vital signs, and allow the parents to visit but not hold their infant. B. Administer intravenous fluids and antibiotics. C. Place the infant on 100% oxygen via a non-rebreather mask. D. Have the mother feed the infant slowly in a monitored area, stopping all feedings 4 to 6 hours before surgery.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

The nurse is caring for an 8-week-old male who has just been diagnosed with Hirschsprung disease. The parents ask what they should expect. Select the nurse's best response.

A. It is really an easy disease to manage. Most children are placed on stool softeners to help with constipation until it resolves. B. A permanent stool diversion, called a colostomy, will be placed by the surgeon to bypass the narrowed area. C. Daily bowel irrigations will help your child maintain regular bowel habits. D. Although your child will require surgery, there are different ways to manage the disease depending on how much of the bowel is involved.

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

The nurse is caring for an infant with pyloric stenosis. The parent asks if any future children will likely have pyloric stenosis. Select the nurse's best response.

A. You seem worried; would you like to discuss your concerns? B. It is very rare for a family to have more than one child with pyloric stenosis. C. Pyloric stenosis can run in families and is more common among males. D. Although there can be a genetic link, it is very unusual for girls to have pyloric stenosis.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 5

The nurse is providing discharge teaching to the parents of an infant with an umbilical hernia. Which should be included in the plan of care?

A. If the hernia has not resolved on its own by the age of 12 months, surgery is generally recommended. B. If the hernia appears to be more swollen or tender, seek medical care immediately. C. To help the hernia resolve, place a pressure dressing over the area gently. D. If the hernia is repaired surgically, there is a strong likelihood that it will return.

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

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