Page 1000 - Saunders Comprehensive Review For NCLEX-RN

2. The passage of currant jelly–like stools
3. Failure to pass meconium stool in the first 24 hours after birth
4. Sausage-shaped mass palpated in the upper right abdominal
quadrant
338. The nurse admits a child to the hospital with a diagnosis of pyloric stenosis.
On assessment, which data would the nurse expect to obtain when asking
the parent about the child’s symptoms?
1. Watery diarrhea
2. Projectile vomiting
3. Increased urine output
4. Vomiting large amounts of bile
339. The nurse provides home care instructions to the parents of a child with
celiac disease. The nurse should teach the parents to include which food item
in the child’s diet?
1. Rice
2. Oatmeal
3. Rye toast
4. Wheat bread
340. The nurse is preparing to care for a child with a diagnosis of intussusception.
The nurse reviews the child’s record and expects to note which sign of this
disorder documented?
1. Watery diarrhea
2. Ribbon-like stools
3. Profuse projectile vomiting
4. Bright red blood and mucus in the stools
341. Which interventions should the nurse include when creating a care plan for a
child with hepatitis? Select all that apply.
1. Providing a low-fat, well-balanced diet.

2. Teaching the child effective hand-washing techniques.

3. Scheduling playtime in the playroom with other children.

4. Notifying the primary health care provider (PHCP) if
jaundice is present.

5. Instructing the parents to avoid administering medications
unless prescribed.
6. Arranging for indefinite home schooling because the child

will not be able to return to school.

Answers

332. Answer: 4

Rationale: Hirschsprung’s disease is a congenital anomaly also known as
congenital aganglionosis or aganglionic megacolon. It occurs as the result of an absence

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