When assessing a child admitted to the hospital for gastroenteritis, the nurse notices that the child has no tears when crying. What should the nurse be concerned about?

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Question 1 of 5

When assessing a child admitted to the hospital for gastroenteritis, the nurse notices that the child has no tears when crying. What should the nurse be concerned about?

Correct Answer: D

Rationale: No tears when crying is a classic sign of dehydration , common in gastroenteritis due to fluid loss from vomiting and diarrhea. Delayed development , C. diff , and pyloric stenosis do not directly cause this symptom.

Question 2 of 5

A mother tells the nurse that her child has started sucking his thumb during his hospitalization. Which term should the nurse use for documenting to describe this behavior?

Correct Answer: D

Rationale: Thumb-sucking during stress is regression , a return to earlier behaviors, common in hospitalized children.

Question 3 of 5

Children with intussusception may have bowel movements containing blood and mucus with no feces. These are termed:

Correct Answer: A

Rationale: Intussusception, where the intestine telescopes into itself, causes bloody, mucousy stools without feces, resembling 'currant jelly' . Mucoid stools lack blood, steatorrhea is fatty and pale, and occult blood is hidden, not overt like in intussusception.

Question 4 of 5

The nurse interviewing parents of an infant with pyloric stenosis would expect them to report which of the following conditions?

Correct Answer: B

Rationale: Projectile vomiting (B) is the hallmark of pyloric stenosis due to pyloric obstruction. Diarrhea (A), poor appetite (C), and constipation (D) are not primary symptoms. Document: 'Vomiting is the outstanding symptom… described as projectile vomiting.'

Question 5 of 5

A child with type 1 diabetes received her insulin at 7:30 AM. At 10:30, she is complaining of being hungry, thirsty and drowsy. Which intervention should the nurse perform first? Select one that apply:

Correct Answer: A

Rationale: Hypoglycemia (hunger, thirst, drowsiness post-insulin) requires testing blood sugar (A) and giving juice (B) to raise glucose. Napping (C) or walking (D) delays treatment. Document: 'The immediate remedy is to give orange juice… Test her blood sugar and follow sliding scale.'

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