A school-age child is prescribed an enema in preparation for a ...

[kfurse]

A school-age child is prescribed an enema in preparation for a colonoscopy. Which type of solution and amount should the nurse prepare for the child?
 
  A) 150 ml normal saline
  B) 350 ml normal saline
  C) 100 ml tap water enema
  D) 250 ml milk and molasses

Question 2

The nurse is assessing a 2-year-old boy who has missed some developmental milestones. Which finding will point to the cause of motor skill delays?
 
  A) The mother is suffering from depression.
  B) The child is homeless and has no toys.
  C) The mother describes an inadequate diet.
  D) The child is unperturbed by a loud noise.

[djpooyouma]

Answer to Question 1

A
Feedback:
Normal saline is the usual solution for an enema for a child. For a school-age child, the amount of solution should be between 300 and 500 ml. Tap water is not used for an enema because it is not isotonic and can cause rapid shifts of fluids, leading to water intoxication. Milk of molasses is used to relieve a fecal impaction.

Answer to Question 2

B
Feedback:
Children develop through play, so a child without any toys may have trouble developing the motor skills appropriate to his age. Maternal depression is a risk factor for poor cognitive development. Inadequate diet will cause growth deficiencies. A child who does not respond to a loud noise probably has hearing loss, which will lead to a language deficit.