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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Positioning for comfort is a common intervention during a vaso-occlusive crisis to alleviate pain.

B. Restricting fluid intake is contraindicated in vaso-occlusive crisis; hydration is crucial to help reduce sickling and improve circulation.

C. Avoiding strain on painful joints is appropriate to prevent exacerbating pain and potential damage.

D. Applying nasal oxygen at 2 liters may be indicated to ensure adequate oxygenation, especially if the child is experiencing any respiratory distress.

A. Administering an intermittent IV bolus medication B. Talking to the client at the bedside C. Administering an IM injection D. Completing a dressing change

Correct Answer is D

Explanation

A. Administering an IV bolus medication does not typically require gowning unless there is a risk of exposure to bodily fluids.

B. Talking to the client does not necessitate wearing a gown, as it does not pose a risk of exposure.

C. Administering an IM injection may require gloves but not necessarily a gown unless there is a risk of splashing.

D. Completing a dressing change involves potential exposure to bodily fluids, so wearing a gown is appropriate for infection control.

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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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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