A 4-month-old is brought to the emergency department with severe dehydration. The heart rate is 198, and her blood pressure is 68/38. The infant's anterior fontanel is sunken. The nurse notes that the infant does not cry when the intravenous line is inserted. The child's parents state that she has not 'held anything down' in 18 hours. The nurse obtains a finger-stick blood sugar of 94. Which would the nurse expect to do immediately?

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Pediatric Gastrointestinal Disorders NCLEX Questions Questions

Question 1 of 5

A 4-month-old is brought to the emergency department with severe dehydration. The heart rate is 198, and her blood pressure is 68/38. The infant's anterior fontanel is sunken. The nurse notes that the infant does not cry when the intravenous line is inserted. The child's parents state that she has not 'held anything down' in 18 hours. The nurse obtains a finger-stick blood sugar of 94. Which would the nurse expect to do immediately?

Correct Answer: A

Rationale: For dehydration, correction is done with an isotonic solution (e.g., normal saline). However, in this scenario, because the infant is being managed noninvasively and the blood sugar is normal, the nurse should begin with offering small amounts of oral rehydration (Pedialyte) if the child is stable and alert.

Question 2 of 5

The nurse is caring for a 3-month-old infant who has short bowel syndrome (SBS) and has been receiving total parenteral nutrition (TPN). The parents ask if their child will ever be able to eat. Select the nurse's best response.

Correct Answer: C

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

Question 3 of 5

The nurse is caring for a 5-year-old who has just returned from an appendectomy. Which is the optimal way to manage pain?

Correct Answer: C

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

Question 4 of 5

The nurse is caring for a newborn with a cleft lip and palate. The mother states, 'I will not be able to breastfeed my baby.' Select the nurse's best response.

Correct Answer: C

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

Question 5 of 5

The nurse is caring for an infant diagnosed with Hirschsprung disease. The mother states she is pregnant with a boy and wants to know if her new baby will likely have the disorder. Select the nurse's best response.

Correct Answer: A

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

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