ATI RN
Pediatric Gastrointestinal Nursing Interventions Questions
Question 1 of 5
During the treatment of malnutrition, the signal of entry to the rehabilitation phase is
Correct Answer: B
Rationale: In pediatric gastrointestinal nursing, the signal for transitioning to the rehabilitation phase during the treatment of malnutrition is the resolution of infection, making option B the correct answer. This is because malnutrition compromises the immune system, making children more susceptible to infections. Resolving the infection indicates that the child's immune system is improving, which is a crucial step before focusing on nutritional rehabilitation. Option A, reduced edema, is not the primary signal for transitioning to the rehabilitation phase in malnutrition treatment. Edema may improve with the correction of fluid and electrolyte imbalances but does not necessarily indicate readiness for nutritional rehabilitation. Option C, disappearance of signs of micronutrient deficiency, is important but may not always be the primary signal for moving to the rehabilitation phase. Micronutrient deficiency signs can persist even as the child's overall health improves. Option D, constant body temperature, is not directly related to the readiness for rehabilitation in malnutrition treatment. While monitoring body temperature is important in assessing a child's overall health, it is not the key indicator for transitioning to the rehabilitation phase. Educationally, understanding these signals in pediatric gastrointestinal nursing interventions is crucial for providing effective care to malnourished children. Recognizing the appropriate time to transition to the rehabilitation phase can significantly impact the child's recovery and long-term health outcomes. It highlights the holistic approach required in caring for children with malnutrition, addressing both nutritional needs and underlying health issues.
Question 2 of 5
Complications of appendicitis include
Correct Answer: D
Rationale: In pediatric gastrointestinal nursing, understanding the complications of appendicitis is crucial for providing effective care. The correct answer, D) All of the above, is the most comprehensive choice as it encompasses the common complications associated with appendicitis. A) Wound infection is a possible complication post-appendectomy due to the surgical incision. While this is a valid concern, it is not the only complication associated with appendicitis. B) Intra-abdominal abscess can occur as a result of a ruptured appendix leading to localized infection and collection of pus in the abdominal cavity. This is a serious complication that requires prompt intervention to prevent further complications. C) Infertility is not a direct complication of appendicitis. While untreated appendicitis can lead to severe complications like peritonitis, which may indirectly affect fertility in rare cases, it is not a common or direct complication of the condition. Educationally, understanding these complications is vital for pediatric nurses to recognize early signs, provide appropriate care, and educate patients and families on post-operative care and potential complications. By knowing the range of possible complications, nurses can be proactive in monitoring and managing pediatric patients with appendicitis effectively.
Question 3 of 5
An 11-year-old Tanner stage 2 female experiences intermittent periumbilical abdominal pain 2 days before emergently visiting her pediatrician. Six hours later, she is nauseated and has one or two episodes of emesis. She also has had two soft bowel movements without blood or relief of symptoms. She walks cautiously into your office and lies still on your examining table. When you begin your examination, she is apprehensive and watches every move of your examining hand. You notice guarding and tenderness throughout her abdomen; the most tender area is the right lower quadrant. The most likely diagnosis is
Correct Answer: D
Rationale: The correct answer is D) Appendicitis. In this case, the patient's symptoms align with classic signs of appendicitis, such as periumbilical pain migrating to the right lower quadrant, nausea, vomiting, and tenderness upon examination. Appendicitis is a common pediatric surgical emergency that requires prompt recognition and intervention to prevent complications like perforation. A) Pelvic inflammatory disease and B) Ruptured ectopic pregnancy are less likely given the patient's age, Tanner stage, lack of sexual activity, and absence of gynecological symptoms like vaginal discharge or abnormal bleeding. C) Crohn's disease typically presents with chronic abdominal pain, diarrhea, weight loss, and other systemic symptoms, which are not evident in this acute presentation. Educationally, understanding the differential diagnosis of abdominal pain in pediatric patients is crucial for nurses to provide timely and appropriate care. Recognizing specific symptoms and signs, like those seen in appendicitis, can help nurses advocate for prompt evaluation and treatment, ultimately improving patient outcomes.
Question 4 of 5
All of the following conditions are associated with a higher incidence of inguinal hernia EXCEPT
Correct Answer: D
Rationale: The correct answer is D) Testicular feminization syndrome. Inguinal hernias are more commonly associated with conditions that involve increased intra-abdominal pressure or weakened abdominal wall musculature. Testicular feminization syndrome, also known as complete androgen insensitivity syndrome, is a genetic condition where individuals with XY chromosomes have external female genitalia and are resistant to the effects of male hormones. This syndrome does not inherently lead to increased intra-abdominal pressure or weakened abdominal walls, therefore it is not commonly associated with inguinal hernias. A) Cystic fibrosis can lead to chronic coughing and increased intra-abdominal pressure, which can predispose individuals to inguinal hernias. B) A family history of inguinal hernia may indicate a genetic predisposition or shared environmental factors that contribute to the development of inguinal hernias. C) Adrenogenital syndrome is a group of inherited disorders that can lead to hormonal imbalances and can indirectly contribute to the development of inguinal hernias. In a pediatric gastrointestinal nursing context, understanding the associations between certain conditions and inguinal hernias is crucial for early identification and intervention. Nurses need to be aware of risk factors and manifestations of inguinal hernias to provide appropriate care and support to pediatric patients. Educating families about potential risk factors and signs of hernias can help in early detection and management, thus preventing complications.
Question 5 of 5
The following might reflect physical features associated with obesity in a 10-year-old boy, EXCEPT
Correct Answer: D
Rationale: In this question, the correct answer is D) nocturia. Nocturia is not typically a physical feature directly associated with obesity in a 10-year-old boy. A) Hip pain can be a physical feature associated with obesity due to the extra weight putting strain on the joints. B) Delayed sleep can be linked to obesity in children due to various factors like sleep apnea or discomfort from excess weight. C) Polyuria, or increased urination, can be a symptom of conditions related to obesity like diabetes or hormonal imbalances. Educationally, understanding the physical features associated with obesity in pediatric patients is crucial for nurses to provide comprehensive care. By recognizing these signs, nurses can intervene early, promote healthy habits, and prevent further complications related to obesity in children. This knowledge helps in developing tailored nursing interventions and promoting overall well-being in pediatric patients.