A nurse is conducting an in-service on gastrointestinal disorders. The nurse includes that melena, the passage of black, tarry stools, suggests bleeding from which area?

Which type of dehydration is defined as “dehydration that occurs in conditions in which electrolyte and water deficits are present in approximately balanced proportion”?

An infant is brought to the emergency department with dehydration. Which physical assessment finding does the nurse expect?

Parents call the clinic and report that their toddler has had acute diarrhea for 24 hours. The nurse should further ask the parents if the toddler has which associated factor that is causing the acute diarrhea?

Which pathogen is the viral pathogen that frequently causes acute diarrhea in young children?

Which is a parasite that causes acute diarrhea?

A child is admitted with bacterial gastroenteritis. Which lab results of a stool specimen confirm this diagnosis?

Which therapeutic management should the nurse prepare to initiate first for a child with acute diarrhea and moderate dehydration?

A school-age child with diarrhea has been rehydrated. The nurse is discussing the child’s diet with the family. Which statement by the parent would indicate a correct understanding of the teaching?

A young child is brought to the emergency department with severe dehydration secondary to acute diarrhea and vomiting. Therapeutic management of this child should begin with:

A mother calls the clinic nurse about her 4-year-old son who has acute diarrhea. She has been giving him the antidiarrheal drug loperamide (Imodium A-D). The nurse’s response should be based on knowledge that this drug is:

Constipation has recently become a problem for a school-age girl. She is healthy except for seasonal allergies that are being treated with antihistamines. The nurse should suspect that the constipation is most likely caused by:

Which is a high-fiber food that the nurse should recommend for a child with chronic constipation?

Which therapeutic management treatment is implemented for children with Hirschsprung disease?

Enemas are ordered to empty the bowel preoperatively for a child with Hirschsprung disease. The enema solution should be:

A 3-year-old child with Hirschsprung disease is hospitalized for surgery. A temporary colostomy will be necessary. The nurse should recognize that preparing this child psychologically is:

The nurse is explaining to a parent how to care for a school-age child with vomiting associated with a viral illness. Which action should the nurse include?

A 4-month-old infant has gastroesophageal reflux (GER) but is thriving without other complications. Which should the nurse suggest to minimize reflux?

A histamine-receptor antagonist such as cimetidine (Tagamet) or ranitidine (Zantac) is ordered for an infant with GER. The purpose of this is to:

Which clinical manifestation would be the most suggestive of acute appendicitis?

A child has recurrent abdominal pain (RAP) and a dairy-free diet has been prescribed for 2 weeks. Which explanation is the reason for prescribing a dairy-free diet?

Parents of a child undergoing an endoscopy to rule out peptic ulcer disease (PUD) from H. pylori ask the nurse, “If H. pylori is found will my child need another endoscopy to know that it is gone?” Which is the nurse’s best response?

A nurse is receiving report on a newborn admitted yesterday after a gastroschisis repair. In the report, the nurse is told the newborn has a physician’s prescription for an NG tube to low intermittent suction. The reporting nurse confirms that the NG tube is to low intermittent suction and draining light green stomach contents. Upon initial assessment, the nurse notes that the newborn has pulled the NG tube out. Which is the priority action the nurse should take?

An infant with short bowel syndrome will be discharged home on total parenteral nutrition (TPN) and gastrostomy feedings. Nursing care should include:

The nurse is caring for a boy with probable intussusception. He had diarrhea before admission but, while waiting for administration of air pressure to reduce the intussusception, he passes a normal brown stool. Which nursing action is the most appropriate?

Invagination of one segment of bowel within another is called:

The nurse is caring for an infant with suspected pyloric stenosis. Which clinical manifestation would indicate pyloric stenosis?

Pyloric stenosis can best be described as:

The nurse is caring for a neonate with a suspected tracheoesophageal fistula. Nursing care should include:

The nurse is caring for an infant whose cleft lip was repaired. Important aspects of this infant’s postoperative care include:

Caring for the newborn with a cleft lip and palate before surgical repair includes:

A nurse is admitting an infant with biliary atresia. Which is the earliest clinical manifestation of biliary atresia the nurse should expect to assess?

The best chance of survival for a child with cirrhosis is:

Which statement best characterizes hepatitis A?

Bismuth subsalicylate, clarithromycin, and metronidazole are prescribed for a child with a peptic ulcer to:

Which is used to treat moderate to severe inflammatory bowel disease?

A nurse is admitting a child with Crohn disease. Parents ask the nurse, “How is this disease different from ulcerative colitis?” Which statement should the nurse make when answering this question?

A nurse is conducting an in-service on childhood gastrointestinal disorders. Which statement is most descriptive of Meckel diverticulum?

When caring for a child with probable appendicitis, the nurse should be alert to recognize that which condition or symptom is a sign of perforation?

A histamine-receptor antagonist such as cimetidine (Tagamet) or ranitidine (Zantac) is ordered for an infant with GER. The purpose of this is to: