The nurse is caring for a 5-month-old infant diagnosed with intussusception. The infant has periods of irritability with the knees drawn to the chest alternating with periods of lethargy; vital signs are stable. The physician elects to give an enema. The parents ask the purpose of the enema. Select the nurse's most appropriate response.

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NCLEX Pediatric Gastrointestinal Practice Questions Questions

Question 1 of 5

The nurse is caring for a 5-month-old infant diagnosed with intussusception. The infant has periods of irritability with the knees drawn to the chest alternating with periods of lethargy; vital signs are stable. The physician elects to give an enema. The parents ask the purpose of the enema. Select the nurse's most appropriate response.

Correct Answer: C

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

Question 2 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.

Correct Answer: D

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

Question 3 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.

Correct Answer: C

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

Question 4 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?

Correct Answer: B

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

Question 5 of 5

The nurse will soon receive a 4-month-old who has been diagnosed with intussusception. The infant is very lethargic with the following vital signs: T 101.8°F (38.7°C), HR 181, BP 68/38; the reporting nurse states the infant's abdomen is very rigid. Which is the most appropriate action for the receiving nurse?

Correct Answer: D

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

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