Final Exam^353
- The mother of a child who underwent an appendectomy asks why her daugh-
ter must wait until bowel sounds return before she can have food. What is your
best response?
a. Before giving your daughter any food we must be sure that the food can move
through her intestine.
b. Bowel sounds are the result of muscles in the intestine contracting. This is nec-
essary for food to move through the intestine. The anesthetic from the appendec-
tomy slows muscle contractions of the intestine. Muscle contractions will return
when the anesthetic wears off and bowel sounds return.
c. Before giving your daughter any food we must be sure that the food can move
through her intestine. This happens by muscles in the intestine contracting,
which causes bowel sounds to occur. The anesthetic from the appendectomy
slows muscle contractions of the intestine. Muscle contractions will return when
the anesthetic wears off. We’ll know when this happens when the bowel sounds
return.
d. The anesthetic reduces peristalsis and therefore food can’t pass through the intes-
tine until bowel sounds return. - What would you do if you received an order to administer Kayexalate to a child
who has glomerulonephritis?
a. Question the order because the child’s kidneys are not functionally normally.
b. Administer the medication as order.
c. Assess the child’s potassium level before administering the medication.
d. Administer the medication only if the child’s potassium level is low; otherwise
there is a risk of cardiac arrest. - A parent of a child who is recently diagnosed with a kidney disorder asks you
why the health-care provider tests her son’s blood urea nitrogen (BUN) and
creatinine. What is your best response?
a. The health-care provider measures BUN and creatinine to determine if your son’s
kidneys are working. BUN and creatinine are waste products in the blood and
removed from the blood by the kidneys. If the kidneys are functioning, then the
BUN and creatinine levels in the blood are normal. If they are not functioning,
then these levels are abnormal.
b. The health-care provider measures BUN and creatinine to determine if your son’s
kidneys are working.
c. I’ll ask your health-care provider to explain these tests.
d. The health-care provider orders these and other tests to determine your son’s
health.