The nurse is providing care to a child with acute abdominal pain, currant-jelly-like stools and suspected intussusception. The nurse will discuss with the caregivers that the child will have which procedure
Abdominal surgery
Enema with air infusion
Ano-rectal pull-through procedure
Colostomy
The Correct Answer is B
A. While abdominal surgery may be needed in some cases of intussusception, non-surgical interventions are often attempted first.
B. An enema with air infusion (often a contrast enema) can be used to treat intussusception by helping to unfold the intestine, making it a commonly discussed procedure.
C. An ano-rectal pull-through procedure is not related to intussusception and is usually indicated for conditions like Hirschsprung's disease.
D. A colostomy may be necessary in cases of bowel necrosis or perforation but is not the first-line treatment for intussusception.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Educating the family about antibiotics is important but not the immediate priority for symptom management.
B. Administering analgesic medication addresses the child's pain and discomfort, which is a priority in acute otitis media.
C. Applying an ice pack can provide some comfort but does not directly address the child's pain as effectively as medication.
D. Providing diversional activities may help occupy the child but is not a direct intervention for the pain associated with acute otitis media.
Correct Answer is B
Explanation
A. Acetaminophen can be given every 4 to 6 hours, but every 2 hours is too frequent and indicates a need for further teaching.
B. The maximum daily dose for a child should be based on their weight and typically should not exceed 75 mg/kg/day; stating 4000 mg is too high for a child, indicating a misunderstanding of dosing.
C. Administering acetaminophen rectally is appropriate if the child cannot take it orally, particularly during vomiting episodes.
D. Notifying the provider about jaundice is critical, as it may indicate liver dysfunction, which is important when using acetaminophen.
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