NURS 6541 Week 9 Quiz 1

QUESTION 1 1. The most accurate way to determine the degree of dehydration in a vomiting child is to assess: a. Urine output b. Skin turgor c. Level of consciousness d. Presence of tears 1 points QU ...

QUESTION 1 1. The most accurate way to determine the degree of dehydration in a vomiting child is to assess: a. Urine output b. Skin turgor c. Level of consciousness d. Presence of tears 1 points QUESTION 2 1. A mother brings a 2-year-old to your office with the complaint that she passes 5 to 10 watery stools per day that often contain undigested food. The child appears healthy and has no other GI symptoms. She is acting, eating, and voiding normally. Weight gain is normal and the mother states she often drinks (her favorite drink is Kool-Aid) instead of eating. The best management for this condition is: a. Refer to gastroenterology for assessment and treatment. b. Initiate treatment with metronidazole (Flagyl), after obtaining a stool O&P, and counsel to decrease fruit juice intake. c. Initiate treatment with erythromycin and counsel to increase dietary fiber. d. Counsel to decrease fluid intake, increase dietary fiber, and increase fats to 40% of calories. 1 points QUESTION 3 1. A healthy 8-month-old infant presents with diarrhea but no dehydration. What is the best advice to give to the parents? a. Encourage half-strength formula for 12 hours. b. Administer oral electrolyte solutions. c. Give only fluids until stool returns to normal. d. Give bananas, cereal, vegetables, and full-strength formula as tolerated. 1 points QUESTION 4 1. An adolescent female presents with a 2-day history of increasing lower abdominal pain. She has mild vomiting and anorexia and fevers to 101°F. She is unable to defecate but has an urge to do so. CBC reveals a slightly elevated WBC of 14,000 but is otherwise normal. Serum electrolytes are normal. The next step is: a. Refer to gynecology for a pelvic exam. b. Refer to surgery for evaluation of appendicitis. c. Allow her to go home on clear fluids and reassess in the morning. d. Initiate oral rehydration therapy and evaluate for symptom progression. 1 points QUESTION 5 1. A 14-year-old has a 3-week history of fever, anorexia, and abdominal pain. What additional symptom would cause the NP to suspect Crohn’s disease? a. Mid-menstrual increase in abdominal pain b. Bloody, mucous diarrhea c. Pain with urination and mouth sores d. Pale, clay-colored stools 1 points QUESTION 6 1. You see a 7-year-old with a positive stool culture for Salmonella enteritidis. The appropriate therapy for a non-dehydrated child is: a. Metronidazole (Flagyl) b. Sulfamethoxazole (Bactrim) c. Bland diet with focus on maintaining hydration d. Immodium A-D over the counter 1 points QUESTION 7 1. A common presenting symptom of inflammatory bowel disease is: a. Joint infection b. Accelerated growth c. Unexplained fever d. Kidney stones 1 points QUESTION 8 1. The most common presentation of Hirschprung disease is which of the following? a. An abdominal mass b. Diarrhea c. Infrequent bowel movements d. Sepsis 1 points QUESTION 9 1. A 9-year-old is diagnosed with dyspepsia without hematemesis, melena, or occult blood. The most appropriate next step is: a. Refer for endoscopy of the upper gastrointestinal tract b. Trial of omeprazole (Prilosec) c. Trial of ranitidine (Zantac) d. Upper GI series with contrast 1 points QUESTION 10 1. A healthy, thriving 4-month-old male has had sudden episodes of drawing his knees to his chest and crying like he is in acute pain for the last 5 hours. These episodes are separated by quiet times when he appears normal and comfortable. He is not vomiting and has not had a bowel movement today. What is the most likely diagnosis? a. Gastroenteritis b. Pyloric stenosis c. Intussusception d. Hirschprung disease • Question 1 0 out of 1 points The most accurate way to determine the degree of dehydration in a vomiting child is to assess: • Question 2 1 out of 1 points A mother brings a 2-year-old to your office with the complaint that she passes 5 to 10 watery stools per day that often contain undigested food. The child appears healthy and has no other GI symptoms. She is acting, eating, and voiding normally. Weight gain is normal and the mother states she often drinks (her favorite drink is Kool-Aid) instead of eating. The best management for this condition is: • Question 3 0 out of 1 points A healthy 8-month-old infant presents with diarrhea but no dehydration. What is the best advice to give to the parents? • Question 4 0 out of 1 points An adolescent female presents with a 2-day history of increasing lower abdominal pain. She has mild vomiting and anorexia and fevers to 101°F. She is unable to defecate but has an urge to do so. CBC reveals a slightly elevated WBC of 14,000 but is otherwise normal. Serum electrolytes are normal. The next step is: • Question 5 1 out of 1 points A 14-year-old has a 3-week history of fever, anorexia, and abdominal pain. What additional symptom would cause the NP to suspect Crohn’s disease? • Question 6 1 out of 1 points You see a 7-year-old with a positive stool culture for Salmonella enteritidis. The appropriate therapy for a non-dehydrated child is: • Question 7 1 out of 1 points A common presenting symptom of inflammatory bowel disease is: • Question 8 1 out of 1 points The most common presentation of Hirschprung disease is which of the following? • Question 9 1 out of 1 points A 9-year-old is diagnosed with dyspepsia without hematemesis, melena, or occult blood. The most appropriate next step is: • Question 10 1 out of 1 points A healthy, thriving 4-month-old male has had sudden episodes of drawing his knees to his chest and crying like he is in acute pain for the last 5 hours. These episodes are separated by quiet times when he appears normal and comfortable. He is not vomiting and has not had a bowel movement today. What is the most likely diagnosis?