The nurse is giving discharge instructions to the parent of a 1-month-old infant with tracheoesophageal fistula and a gastrostomy tube (GT). The nurse knows the mother understands the discharge teaching when she states:

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Pediatric Gastrointestinal Disorders NCLEX Questions Questions

Question 1 of 5

The nurse is giving discharge instructions to the parent of a 1-month-old infant with tracheoesophageal fistula and a gastrostomy tube (GT). The nurse knows the mother understands the discharge teaching when she states:

A. I will give my baby feedings through the GT but place liquid medications in the corner of the mouth to be absorbed. B. I will flush the GT with 2 ounces of water after each feeding to prevent it from clogging. C. I will clean the area around the GT with soap and water every day. D. I will place petroleum jelly around the GT if any redness develops.

Correct Answer: B

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

Question 2 of 5

The parent of a 5-year-old states that the child has been having diarrhea for 24 hours, vomited twice 2 hours ago, and now claims to be thirsty. The parent asks what to offer the child because the child is refusing Pedialyte. Select the nurse's most appropriate response.

A. You can offer clear diet soda such as Sprite and ginger ale. B. Pedialyte is really the best thing for your child; if thirsty enough, he will eventually drink it. C. Pedialyte is best. You might offer it in a spoon, medicine cup, or syringe to give your child a choice, which may help him take it. D. It doesn't matter what your child drinks as long as it is kept down; try offering small amounts in a medicine cup.

Correct Answer: C

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

Question 3 of 5

The parents of a newborn diagnosed with a cleft lip and palate ask the nurse when their child's lip and palate will most likely be repaired. Select the nurse's best response.

A. The palate and the lip are usually repaired in the first few weeks of life so that the baby can grow and gain weight. B. The palate and the lip are usually not repaired until the baby is approximately 6 months old so that the mouth has had enough time to grow. C. The lip is repaired in the first few months of life, but the palate is not usually repaired until the child is 3 years old. D. The lip is repaired in the first few weeks of life, but the palate is not usually repaired until the child is about 18 months old.

Correct Answer: D

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

Question 4 of 5

Which is an accurate description of a Kasai procedure?

A. A palliative procedure in which the bile duct is attached to a loop of bowel to assist with bile drainage. B. A curative procedure in which a connection is made between the bile duct and a loop of bowel. C. A curative procedure in which the bile duct is banded to prevent bile leakage. D. A palliative procedure in which the bile duct is banded to prevent bile leakage.

Correct Answer: A

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

Question 5 of 5

Which should be included in the plan of care for a 14-month-old whose cleft palate was repaired 12 hours ago? (Select all that apply.)

A. Allow the infant to have familiar items of comfort (e.g., favorite stuffed animal) and a 'sippy' cup. B. Once liquids are tolerated, encourage a bland diet such as soup, Jell-O, and saltine crackers. C. When discharged, remove elbow restraints. D. Use a Yankauer suction catheter in the mouth to decrease the risk of aspiration.

Correct Answer: A

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

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