(^254) Pediatric Nursing Demystified
- A new mother whose child is diagnosed with Hirschsprung disease is concerned
how her daughter will deal with having a colostomy for the rest of her life. What
is your best response?
a. As she grows older, we’ll show her how to care for her colostomy.
b. The child quickly adapts, and it really isn’t a problem.
c. The colostomy is temporary.
d. The colostomy is temporary. Once the colon heals, she will undergo another sur-
gery to reverse the colostomy. Afterward she’ll be normal. - A child who is diagnosed with cystic fibrosis is colicky and has his knees drawn
to his chest and is producing currant jelly-like stool. What is your best response?
a. Wait and see if the episode passes.
b. Call the health-care provider immediately.
c. Assess for a sausage-shaped abdominal mass and take his vital signs.
d. Suspect that the child has intussusceptions. - The mother of a child who is diagnosed with pyloric stenosis asks what causes
projectile vomiting. What is your best response?
a. Projectile vomiting is caused by muscles in the esophagus pushing the food up the
esophagus because there is an obstruction at the bottom of the stomach.
b. Projectile vomiting is caused by reverse peristaltic and gastritis.
c. An upset stomach.
d. Projectile vomiting is caused by muscles in the esophagus pushing the food down
the esophagus because there is an obstruction at the bottom of the stomach. - A child diagnosed with ulcerative colitis has a fever, distended colon and tender
abdomen, and his pulse is elevated. What would you suspect?
a. Toxic megacolon
b. Tenesmus
c. Exacerbations of ulcerative colitis
d. Sigmoidoscopy - What is the most serious risk of not reversing volvulus?
a. Malnutrition
b. Bowel obstruction
c. Infection
d. Blood vessels to compress and an ischemia to that can lead to necrosis
ANSWERS
Routine checkup 1
- a
- c